Individual
CLINT JUSTIN BASENER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
8110 S YALE AVE, TULSA, OK 74137-2210
(918) 583-4400
Mailing address
8110 S YALE AVE, TULSA, OK 74137-2291
(918) 583-4400
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4272
OK
Other
Enumeration date
12/21/2006
Last updated
05/03/2026
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