Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GINA CLARK, DO
ActiveGINA CLARK, DO is a Sports Medicine healthcare provider located in STIGLER, Oklahoma. NPI 1790065399 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · STIGLER, OK
Registration Details
- NPI Number
- 1790065399
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 26, 2011 (14.923545336728 yrs)
- Last Updated
- Nov 1, 2018
- Licenses
-
172613 (NC)5482 (OK)
Practice Information
- Address
-
1505 E MAIN STSTIGLER, OK, 744622913Browse OK providers · Browse ZIP 74462
- Phone
- 9189673368
- Fax
- 9189674582
- Primary Specialty
-
Sports Medicine
207QS0010X
- Additional Specialty
- Sports Medicine
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.