Anthony, Clinton Scott

Anthony, Clinton Scott is an individual health care provider with primary practice located at 6802 S Olympia Ave Suite 100, Tulsa OK 74132-1823. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Anthony, Clinton Scott can be contacted via phone (918) 447-9300.

Contact Information

Primary practice address
6802 S Olympia Ave Suite 100 Tulsa OK 74132-1823
Fax: (918) 447-9308
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 2940 Oklahoma

Profile Details

NPI number 1528061603
LBN Legal business name Anthony, Clinton Scott
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Feb 12th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528061603 NPPES
Oklahoma Other P00380439 RAILROAD MEDICARE
Oklahoma MEDICAID 100113840B RAILROAD MEDICARE

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