Clark, Debra Bynum

Clark, Debra Bynum is an individual health care provider with primary practice located at 825 Ne 10Th St Suite 3300, Oklahoma City OK 73104-5417. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Clark, Debra Bynum can be contacted via phone (405) 271-9494.

Contact Information

Primary practice address
825 Ne 10Th St Suite 3300 Oklahoma City OK 73104-5417
Phone: (405) 271-9494
Fax: (405) 271-3727
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X R0030708 Oklahoma

Profile Details

NPI number 1346461092
LBN Legal business name Clark, Debra Bynum
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2007
Last updated May 27th, 2011 - about 13 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 1346461092 NPPES
Oklahoma MEDICAID 100118430 A

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