Individual
CLELL W POND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
8801 S 101ST EAST AVE, TULSA, OK 74133-5716
(918) 294-4000
Mailing address
PO BOX 5358, NORMAN, OK 73070-5358
(866) 321-8433
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
3484
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100096560C
—
OK
Enumeration date
01/19/2006
Last updated
07/08/2007
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