MRS. Shannon Whitney Clark, PHYSICIAN ASSISTANT

NPI #1811569270 in Enid, Oklahoma

Provider Information

NPI Number: 1811569270
Entity Type: Individual
Name: MRS. Shannon Whitney Clark, PHYSICIAN ASSISTANT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PHYSICIAN ASSISTANT
Enumeration Date: Jul 14, 2021
Last Updated: Sep 30, 2021

Practice Location

Address: 600 S MONROE ST
City: Enid
State: Oklahoma
ZIP Code: 73701-7211
Phone: (580) 233-2300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Medical — Medical	363AM0700X
Physician Assistant	363A00000X	Primary

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