Coulter Louis Clark, MED, ATC, LAT

NPI #1548647423 in Skiatook, Oklahoma

Provider Information

NPI Number
1548647423
Entity Type
Individual
Name
Coulter Louis Clark, MED, ATC, LAT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
MED, ATC, LAT
Enumeration Date
Apr 30, 2015
Last Updated
Mar 21, 2016

Practice Location

Address
355 S OSAGE ST
ZIP Code
74070-2015
Phone
(918) 396-5710

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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