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Search › Oklahoma › 225100000X

Michael Clark, PT

NPI 1982818811 · on the registry since 2007

Practice

Address
1200 W Cherokee St
Wagoner, OK 74467
Phone
(918) 485-1323
Fax
(918) 485-9486
Organisation at this address
Jeff S. Jennings, Do, Pllc
Wagoner Hospital Authority
Wagoner Hospital Authority
Inferred from a shared address, not stated in the registry.
Clinicians at this address
9

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

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