Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ROBERT CLENDENIN, MD
Active Sole ProprietorROBERT CLENDENIN, MD is a Procedural Dermatology healthcare provider located in SHAWNEE, Oklahoma. NPI 1427436088 is currently active in the NPPES registry. Verify at CMS.
Procedural Dermatology · SHAWNEE, OK
Registration Details
- NPI Number
- 1427436088
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 14, 2015 (11.068278451186 yrs)
- Last Updated
- Mar 9, 2022
- Licenses
-
10884 (OK)C36830 (CA)C36830 (CA)21634 (PR)10884 (OK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
432 N BROADWAY AVESHAWNEE, OK, 748016922Browse OK providers · Browse ZIP 74801
- Phone
- 4055628380
- Primary Specialty
-
Procedural Dermatology
207NS0135X
- Additional Specialty
- Addiction Psychiatry
- Additional Specialty
- Neurology
- Additional Specialty
- Addiction Psychiatry
- Additional Specialty
- Neurology
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.