Individual
CHRISTINA JANE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5201 W MEMORIAL RD, OKLAHOMA CITY, OK 73142-2004
(405) 755-4050
Mailing address
705 W OAKLAND ST, BROKEN ARROW, OK 74012-1656
(918) 251-2666
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4747
OK
Other
Enumeration date
11/05/2021
Last updated
02/04/2025
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