Mr Clark Edward Brown, is a
Preventive Medicine - Public Health & General Preventive Medicine physician based in Walters, Oklahoma. Mr Clark Edward Brown is licensed to practice in Oklahoma (license number GAAA-NJRV-HY5Z) and his current practice location is 181309 N 2650 Rd, Walters, Oklahoma. He can be reached at his office (for appointments etc.) via phone at
(580) 351-8315.
NPI number for Mr Clark Edward Brown is 1316579022 and his current mailing address is 181309 N 2650 Rd, Walters, Oklahoma. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1316579022.
Physician's Profile
Full Name | Mr Clark Edward Brown |
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Gender | Male |
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Speciality | Preventive Medicine - Public Health & General Preventive Medicine |
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Location | 181309 N 2650 Rd, Walters, Oklahoma |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1316579022
- Provider Enumeration Date: 02/11/2020
- Last Update Date: 02/11/2020
Medical Identifiers
Medical identifiers for Mr Clark Edward Brown such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1316579022 | NPI | - | NPPES |
GAAA-NJRV-HY5Z | Other | OK | OMMA |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | GAAA-NJRV-HY5Z (Oklahoma) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Clark Edward Brown is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Clark Edward Brown, 181309 N 2650 Rd, Walters, OK 73572-3913 Ph: (580) 351-8315 | Mr Clark Edward Brown, 181309 N 2650 Rd, Walters, OK 73572-3913 Ph: (580) 351-8315 |
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