Individual
SUSAN MARCH CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PRSS
Contact information
Practice address
3100 MEDICAL PKWY, CLAREMORE, OK 74017-1088
(918) 342-0070
(918) 342-0087
Mailing address
3100 MEDICAL PKWY, CLAREMORE, OK 74017-1088
(918) 273-1841
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
129787
OK
Other
Enumeration date
03/17/2015
Last updated
04/27/2021
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