JONATHAN D CLARK

MUSKOGEE, OK
NPI1811308240
Other NameJON CLARK
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: OK  3141)
Enumeration Date2014-05-20
Last Update Date2023-02-28
Business Address
JONATHAN D CLARK PA-C
1011 HONOR HEIGHTS DR
MUSKOGEE, OK 74401-1318
Phone number: 189-577-3000
Mailing Address
JONATHAN D CLARK PA-C
6731 E 131ST PL S
BIXBY, OK 74008-3302
Phone number: 918-605-4122
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