| Jonathan D Clark, PA-C | |
|
1011 Honor Heights Dr, Muskogee, OK 74401-1318 | |
| (189) 577-3000 | |
| Not Available |
| Full Name | Jonathan D Clark |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Surgical |
| Location | 1011 Honor Heights Dr, Muskogee, Oklahoma |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811308240 | NPI | - | NPPES |
| 1169860 | Other | NCCPA | |
| 3141 | Other | OK | OKLAHOMA MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | 3141 (Oklahoma) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan D Clark, PA-C 6731 E 131st Pl S, Bixby, OK 74008-3302 Ph: (918) 605-4122 | Jonathan D Clark, PA-C 1011 Honor Heights Dr, Muskogee, OK 74401-1318 Ph: (189) 577-3000 |
Kelly J Elerick, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 300 Rockefeller Dr, Muskogee, OK 74401 Phone: 918-781-9466 | |
Mckenzie Lynn Varela, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 300 Edna M. Rockefeller Drive, Muskogee, OK 74401 Phone: 918-502-1900 Fax: 918-494-6303 | |
Mary Battoe Gellner, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 300 Rockefeller Dr, Muskogee, OK 74401 Phone: 918-684-3374 Fax: 918-681-6814 | |
Mrs. Janice Elaine Smallwood, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1011 Honor Heights Dr, Muskogee, OK 74401 Phone: 918-683-3261 | |
Joyce Ellen Dorsey, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 1011 Honor Heights Dr, Muskogee, OK 74401 Phone: 918-577-3997 Fax: 918-577-3879 | |
Mr. Roger Alan Nevling, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 350 S 40th St, Muskogee, OK 74401 Phone: 918-683-0753 Fax: 866-397-7556 | |
Jetta Ange, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 619 N Main St, Building D, Muskogee, OK 74401 Phone: 918-682-0222 |