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Search › Oklahoma › 363AS0400X

Jonathan Clark, PA-C

NPI 1811308240 · on the registry since 2014 · sole proprietor

Practice

Address
1011 Honor Heights Dr
Muskogee, OK 74401
Phone
(189) 577-3000
Organisation at this address
Eovacs
Muskogee Vamc
Muskogee Vamc
Johnson Associates Systems Inc.
Jack C. Montgomery Va Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
441

Registry record

Primary taxonomy
363AS0400X
363AS0400X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-02-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma