Individual
DR. CARRIE JEAN CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
4401 S WESTER, OKLAHOMA CITY, OK 73109
(405) 636-7500
Mailing address
5300 N INDEPENDENCE AVE STE 280, OKLAHOMA CITY, OK 73112-5555
(405) 951-2545
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4628
OK
Other
Enumeration date
12/08/2008
Last updated
12/01/2021
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