Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JONATHAN D CLARK, PA-C
Active Sole ProprietorJONATHAN D CLARK, PA-C is a Surgical Physician Assistant healthcare provider located in MUSKOGEE, Oklahoma. NPI 1811308240 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · MUSKOGEE, OK
Registration Details
- NPI Number
- 1811308240
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 20, 2014 (12.255008288568 yrs)
- Last Updated
- Feb 28, 2023
- License
-
3141 (OK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1011 HONOR HEIGHTS DRMUSKOGEE, OK, 744011318Browse OK providers · Browse ZIP 74401
- Phone
- 1895773000
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
Other Surgical Physician Assistant Providers in MUSKOGEE, OK
| Name | Credential | NPI |
|---|---|---|
| TIMOTHY GILCREST | PA-C, MPAS | 1902829310 |
| MR. HERBERT BLAIR MONHOLLON | PA-C | 1598789109 |
| MR. STEVEN PEAK | PA-C | 1356443279 |
| EMILY WEBER | — | 1386295558 |
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.