Clarke, Mary

Clarke, Mary is an individual health care provider with primary practice located at 1815 W 6Th Ave , Stillwater OK 74074-4202. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Clarke, Mary can be contacted via phone (405) 743-7300.

Contact Information

Primary practice address
1815 W 6Th Ave Stillwater OK 74074-4202
Phone: (405) 743-7300
Fax: (405) 743-7398
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X L8314 Texas

Profile Details

NPI number 1194839589
LBN Legal business name Clarke, Mary
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2006
Last updated Oct 27th, 2008 - about 17 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 1194839589 NPPES
Texas MEDICAID 1730673 01

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