Individual
CLYDE THOMAS WOOLARD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2224 NW 50TH ST, SUITE 276W, OKLAHOMA CITY, OK 73112-8046
(405) 858-2350
Mailing address
2224 NW 50TH ST, SUITE 276W, OKLAHOMA CITY, OK 73112-8046
(405) 858-2350
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2032
OK
Other
Enumeration date
08/24/2005
Last updated
07/09/2007
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