Stephanie Clark
NPI #1841681046 in Broken Arrow, Oklahoma
Provider Information
- NPI Number
- 1841681046
- Entity Type
- Individual
- Name
- Stephanie Clark
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician, Other
- Enumeration Date
- Feb 9, 2015
- Last Updated
- Feb 9, 2015
Practice Location
- Address
- 2917 S ASH CT
- City
- Broken Arrow
- State
- Oklahoma
- ZIP Code
- 74012-7804
- Phone
- (918) 849-5390
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician, Other |
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