Whalio Doctors

NPI 1013199157

J Clark Bundren, M.D., PC

Organisation Gynecology Physician Tulsa, OK

Practice location

Address
5555 E 71st St STE 6220, Tulsa, OK 74136-6548
Phone
(918) 492-6000
Fax
(918) 481-0622

Authorised official

Name
John Clark Bundren
Title
Managing Officer
Phone
(918) 492-6000

Registered specialties

Gynecology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207VG0400X Licence 13630 (OK)

Registry record

NPI
1013199157
Entity type
Organization
NPI issued
30 Nov 2007
Record last updated
30 Nov 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.