Individual
MS. BAMBI A CLAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3004 E JACKSON ST, HUGO, OK 74743
(580) 326-9555
(580) 286-6699
Mailing address
3004 E JACKSON ST, HUGO, OK 74743-0219
(580) 326-9555
(580) 286-6699
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1343
OK
363A00000X
Physician Assistant
PA18583
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16001343
—
OK
Enumeration date
03/14/2006
Last updated
01/10/2025
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