MICHAEL CLARK

Peer Specialist

Active Individual
NPI: 1417732397

Practice Address

1011 S MUSKOGEE AVE
Tahlequah, OK 74464

Phone: (918) 525-6035

Specialties

Specialty Code Primary License
Peer Specialist 175T00000X Yes -

Frequently Asked Questions

NPI 1417732397 is the National Provider Identifier for MICHAEL CLARK, a Peer Specialist provider located in Tahlequah, OK. This NPI was enumerated on August 29, 2023.
MICHAEL CLARK practices at 1011 S MUSKOGEE AVE, Tahlequah, OK 74464.

Quick Facts

NPI
1417732397
Type
Individual
Enumerated
Aug 29, 2023
Last Updated
Aug 29, 2023

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