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Organization

ROBERT CLARK MD

Active
Parent organization
INTEGRIS AMBULATORY CARE CORP
Organization subpart
Yes

Provider details

NPI number
Legal business name
INTEGRIS AMBULATORY CARE CORP
Authorized official
BART H DAWSON (VICE PRESIDENT)
(405) 951-2987
Entity
Organization

Contact information

Practice address
11401 S. WESTERN, OKLAHOMA CITY, OK 73170
(405) 735-3041
(405) 735-3146
Mailing address
PO BOX 960313, OKLAHOMA CITY, OK 73196-0001
(405) 951-2298
(405) 951-2996

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
08/15/2007
Last updated
11/13/2007
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