Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CLIFFORD BLAINE POLK
ActiveAmbulatory Care Pharmacist · HUGO, OK
Registration Details
- NPI Number
- 1174166300
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 21, 2019 (6.5008344005378 yrs)
- Last Updated
- Oct 21, 2019
- License
-
10516 (OK)
Practice Information
- Address
-
420 E JACKSON STHUGO, OK, 747434021Browse OK providers · Browse ZIP 74743
- Phone
- 5803268337
- Fax
- 5803268338
- Primary Specialty
-
Ambulatory Care Pharmacist
1835P2201X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.