Individual
MR. DAVID ALLEN CLEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1515 NE LAWRIE TATUM RD, LAWTON, OK 73507-3002
(580) 353-0350
Mailing address
1515 NE LAWRIE TATUM RD, LAWTON, OK 73507-3002
(580) 353-0350
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2413
OK
Other
Enumeration date
09/15/2006
Last updated
09/23/2016
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