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Cody Clark
NPI 1336968767 · on the registry since 2024 · sole proprietor
Practice
- Address
- 620 W Grand Ave
Ponca City, OK 74601 - Phone
- (580) 762-1462
- Fax
- (581) 765-7299
- Organisation at this address
- Bridgeway
Bridgeway, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 31
Registry record
- Primary taxonomy
- Peer Specialist
175T00000X
- Sex
- Male
- Record last updated
- 2024-10-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma