Individual
MR. CLARK EDWIN PEPPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1843 E 15TH ST, TULSA, OK 74104-4610
(918) 712-8800
Mailing address
1843 E 15TH ST, TULSA, OK 74104-4610
(918) 712-8800
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/19/2014
Last updated
04/19/2014
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