Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JONATHAN R CLARK, D.O.
Active Sole ProprietorJONATHAN R CLARK, D.O. is a Emergency Medicine healthcare provider located in POTEAU, Oklahoma. NPI 1962477216 is currently active in the NPPES registry. Verify at CMS.
Emergency Medicine · POTEAU, OK
Registration Details
- NPI Number
- 1962477216
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 21, 2006 (20.471477291736 yrs)
- Last Updated
- Sep 14, 2007
- License
-
2355 (OK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
105 WALL STPOTEAU, OK, 749534433Browse OK providers · Browse ZIP 74953
- Phone
- 9186353400
- Fax
- 9186353394
- Primary Specialty
-
Emergency Medicine
207P00000X
Other Emergency Medicine Providers in POTEAU, OK
| Name | Credential | NPI |
|---|---|---|
| AHMER HUSSAIN | — | 1124093414 |
| JEFFREY M SPEAR | M.D. | 1477528776 |
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.