Individual
ALAN KEITH CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
420 SW 10TH ST, OKLAHOMA CITY, OK 73109-5610
(405) 236-0701
Mailing address
420 SW 10TH ST, OKLAHOMA CITY, OK 73109-5610
(405) 236-0701
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/23/2020
Last updated
06/23/2020
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