Individual
DR. CHRISTIAN D CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6465 S YALE AVE, SUITE 1002, TULSA, OK 74136-7823
(918) 481-4700
(918) 481-4765
Mailing address
PO BOX 305, LOWELL, AR 72745-0305
(918) 481-4706
(918) 481-4765
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
27511
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200292330A
—
OK
Enumeration date
05/18/2006
Last updated
03/29/2016
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