JONATHAN SCOTT CLARK

POTEAU, OK
NPI1184682866
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: OK  3561)
Enumeration Date2006-05-03
Last Update Date2011-03-11
Business Address
-- JONATHAN SCOTT CLARK D.O.
1103 DEWEY AVE
POTEAU, OK 74953-4411
Phone number: 918-649-3777
Mailing Address
-- JONATHAN SCOTT CLARK D.O.
PO BOX 1236
POTEAU, OK 74953-1236
Phone number: 918-649-3777
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