Clark, Gina

Clark, Gina is an individual health care provider with primary practice located at 1505 E Main St , Stigler OK 74462-2913. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is her primary health care specialty. Clark, Gina can be contacted via phone (918) 967-3368.

Contact Information

Primary practice address
1505 E Main St Stigler OK 74462-2913
Phone: (918) 967-3368
Fax: (918) 967-4582
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 172613 North Carolina
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 5482 Oklahoma

Profile Details

NPI number 1790065399
LBN Legal business name Clark, Gina
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2011
Last updated Nov 1st, 2018 - about 7 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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