Individual
MARCHEL WORD CLEMENTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4812 S 109TH EAST AVE, STE. 300, TULSA, OK 74146-5826
(918) 236-4580
(918) 236-4587
Mailing address
4802 S 109TH EAST AVE, TULSA, OK 74146-5822
(918) 392-1400
(918) 392-1488
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2945
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100150800A
—
OK
01
—
5454227
CIGNA
—
01
—
5932735
AETNA
—
Enumeration date
06/30/2006
Last updated
11/14/2016
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