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Contact Information

CARRIE J CLARK, D.O
4401 S WESTER
OKLAHOMA CITY, OK73109
 Phone: 405-636-7500
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for CARRIE J CLARK · (Female)

NPI Number 1942445804
Status Active
Credentials D.O
Entity Individual
Enumeration date 12/08/2008
Last updated 12/01/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • OK License # 4628
Hospital affiliation(s)
  • INTEGRIS BAPTIST MEDICAL CENTER - (Acute Care)
    3300 NORTHWEST EXPRESSWAY
    OKLAHOMA CITY, OK 73112
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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