| Jonathan R Clark, DO | |
|
105 Wall St, Poteau, OK 74953-4433 | |
| (918) 635-3400 | |
| (918) 635-3394 |
| Full Name | Jonathan R Clark |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 105 Wall St, Poteau, Oklahoma |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962477216 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 2355 (Oklahoma) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan R Clark, DO Po Box 65592, Charlotte, NC 28265-0592 Ph: (800) 377-8721 | Jonathan R Clark, DO 105 Wall St, Poteau, OK 74953-4433 Ph: (918) 635-3400 |
Ahmer Hussain, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1001 N Broadway St, Box 787, Poteau, OK 74953 Phone: 918-649-0731 Fax: 918-649-3960 | |
Jeffrey M Spear, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 105 Wall St, Poteau, OK 74953 Phone: 918-635-3400 Fax: 918-635-3394 |