DR. Clark Jiro Tingleaf, M.D.

NPI #1881624153 in Owasso, Oklahoma

Provider Information

NPI Number: 1881624153
Entity Type: Individual
Name: DR. Clark Jiro Tingleaf, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Urology
Credential: M.D.
Enumeration Date: Jul 3, 2006
Last Updated: Sep 24, 2019

Practice Location

Address: 10512 N 110TH EAST AVE
Address 2: STE 200
City: Owasso
State: Oklahoma
ZIP Code: 74055-6636
Phone: (918) 376-8926

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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