GINA CLARK, DO

Family Medicine - Sports Medicine

Active Individual
NPI: 1790065399

Practice Address

1505 E MAIN ST
Stigler, OK 74462

Phone: (918) 967-3368

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X No 172613 (NC)
Family Medicine - Sports Medicine 207QS0010X Yes 5482 (OK)

Frequently Asked Questions

NPI 1790065399 is the National Provider Identifier for GINA CLARK, DO, a Family Medicine - Sports Medicine provider located in Stigler, OK. This NPI was enumerated on August 26, 2011.
GINA CLARK, DO practices at 1505 E MAIN ST, Stigler, OK 74462.

Quick Facts

NPI
1790065399
Type
Individual
Enumerated
Aug 26, 2011
Last Updated
Nov 1, 2018

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