Individual
CLARA SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
1200 EVERETT DR, 7TH FLOOR NORTH PAVILION, OKLAHOMA CITY, OK 73104-5047
(405) 271-5215
(405) 271-1236
Mailing address
1200 EVERETT DR, 7TH FLOOR NORTH PAVILION, OKLAHOMA CITY, OK 73104-5047
(405) 271-5215
(405) 271-1236
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
27986
OK
208000000X
Pediatrics Physician
A73456
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A73456
MEDICAL LICENSE
CA
Enumeration date
01/09/2007
Last updated
03/07/2023
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