Individual
CLARK WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4500 S GARNETT RD, STE 300, TULSA, OK 74146-5229
(918) 664-9892
(918) 664-2521
Mailing address
4500 S GARNETT RD, STE 300, TULSA, OK 74146-5229
(918) 664-9892
(918) 664-2521
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
16653
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100030820A
—
OK
Enumeration date
04/26/2006
Last updated
12/09/2009
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