Individual
MARCHEL WORD CLEMENTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
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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