NPI 1841681046

Stephanie Clark

Practitioner Other Technician Broken Arrow, OK

Practice location

Address: 2917 S Ash CT, Broken Arrow, OK 74012-7804
Phone: (918) 849-5390

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X

Other Technician, Other providers in Oklahoma →

Registry record

NPI: 1841681046
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Feb 2015
Record last updated: 9 Feb 2015

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.