Jonathan R Clark, D.O.

NPI #1962477216 in Poteau, Oklahoma

Provider Information

NPI Number: 1962477216
Entity Type: Individual
Name: Jonathan R Clark, D.O.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Emergency Medicine
Credential: D.O.
Enumeration Date: Feb 21, 2006
Last Updated: Sep 14, 2007

Practice Location

Address: 105 WALL ST
City: Poteau
State: Oklahoma
ZIP Code: 74953-4433
Phone: (918) 635-3400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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Organizations

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