J CLARK BUNDREN, M.D., PC; NPI #1013199157

Contact Information

J CLARK BUNDREN, M.D., PC

5555 E 71ST ST STE 6220
TULSA, OK 74136-6548

Phone: 918-492-6000
Fax: 918-481-0622
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Gynecology	207VG0400X	16	Physician/Obstetrics & Gynecology

Indicates primary specialty

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

NPI # 1013199157

LBN Legal business name J CLARK BUNDREN, M.D., PC

Authorized official JOHN BUNDREN - (MANAGING OFFICER)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/30/2007

Last updated 11/30/2007 - About 19 years ago

Identifiers

License #

13630

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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J CLARK BUNDREN, M.D., PC

Contact Information

Specialty

Gynecology

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

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