Individual
MR. JOHN W CLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
4913 W RENO AVE, OKLAHOMA CITY, OK 73127-6339
(405) 948-4900
Mailing address
3134 NW 60TH ST, OKLAHOMA CITY, OK 73112-4205
(405) 842-6188
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA162
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1600162
—
OK
Enumeration date
08/15/2006
Last updated
07/09/2007
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