Individual
EMILYANNE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 EVERETT DR STE 8L, OKLAHOMA CITY, OK 73104-5047
(405) 271-4700
Mailing address
4924 HIGHGARDEN AVE, ARCADIA, OK 73007-7841
(214) 205-0955
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
OK
Other
Enumeration date
10/19/2022
Last updated
02/14/2024
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