National Provider Identifier Database

J CLARK BUNDREN MD PC
Gynecology

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.


Contact Information

J CLARK BUNDREN, M.D., PC
5555 E 71ST ST STE 6220
TULSA, OK74136-6548
Phone: 918-492-6000
Fax: 918-481-0622
Website:
Specialty Taxonomy Code
* Gynecology 207VG0400X

* Indicates primary specialty

NPI Profile & details for J CLARK BUNDREN, M.D., PC

NPI Number 1013199157
Legal business name
LBN
J CLARK BUNDREN, M.D., PC
Authorized official JOHN BUNDREN - (MANAGING OFFICER)
Entity Organization
Organization subpart No
Enumeration date 11/30/2007
Last updated 11/30/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers
  • OK License #: 13630

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.

Reviews for J CLARK BUNDREN, M.D., PC

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