Clayton David Dejarnett D.O.

NPI 1891723896 - Family Medicine - 207Q00000X

NPI Details
NPI 1891723896
Gender Male
Enumeration Date 06/29/2006
Last Updated 04/06/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
10512 NORTH 110TH EAST AVENUE
OWASSO OK, 74055-6638, US
Phone (918) 376-8900
Fax (918) 272-7475
Business Location
1145 S UTICA AVENUE
SUITE 110
TULSA OK, 74104-4013, US
Phone (918) 579-3826
Fax (918) 579-1262
Toxanomy
Taxonomy Code 207Q00000X
License State Oklahoma
License Number 1945
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According to our database, Dr. Clayton David Dejarnett D.O. NPI is 1891723896, taxonomy code is 207Q00000X and license number is 1945, license state is located at Oklahoma. Clayton David Dejarnett D.O. physically located at 10512 North 110th East Avenue, Owasso OK, 74055-6638. NPI Number Clayton David Dejarnett D.O. has the Individual type.

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1891723896 NPI number is provided on an as is basis without warranty of any kind. 1891723896 is maintained by the National Plan & Provider Enumeration System. The contents of Clayton David Dejarnett D.O. are for informational purposes only.