JONATHAN D CLARK PA-C
Individual Provider (NPI-1)
Active
Physician Assistant, Surgical
Provider Information
- NPI Number
1811308240- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA-C
- Status
- Active
Contact & Location
- Address
- 1011 HONOR HEIGHTS DR, MUSKOGEE, OK, 744011318
- Phone
- (189) 577-3000
Specialties & Taxonomies
Physician Assistant, Surgical
Primary License: OK #3141