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Keith Fredrick Clark, MDPHD
Otolaryngology Physician in Oklahoma City, Oklahoma
NPI 1376506642

Keith Fredrick Clark is a Otolaryngology Physician based in Oklahoma City, OK. Keith Fredrick Clark practices in Oklahoma City, OK and has the professional credentials of MDPHD. The NPI Number for Keith Fredrick Clark is 1376506642 and holds a License No. 14220 (Oklahoma).

The current practice location address for Keith Fredrick Clark is 535 Nw 9Th St, Oklahoma City, OK and can be reached out via phone at 405-272-6027 and via fax at 405-272-8315. You can also correspond with Keith Fredrick Clark through the mailing address at 535 NW 9TH ST, OKLAHOMA CITY, OK - 73102-1070 (mailing address contact number: 405-272-6027).

Location: 535 Nw 9Th St, Oklahoma City, OK, 73102-1070
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376506642
Provider Name
Keith Fredrick Clark
Credential
MDPHD
Provider Entity Type
Individual
Gender
Male
Address
535 Nw 9Th St, Oklahoma City, OK, 73102-1070
Phone Number
405-272-6027
Fax Number
405-272-8315
Provider Enumeration Date
04/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
157107001 05 AR
731461178005 01 TRICARE
A0209Z 01 PPO OKLAHOMA
100823600B 05 OK
2994975 01 AETNA US HEALTHCARE
P00075512 01 RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
535 Nw 9Th St
City
Oklahoma City
State
Oklahoma
Zip
73102-1070
Phone Number
405-272-6027
Fax Number
405-272-8315
person
Provider Business Mailing Address Details
Address
535 Nw 9Th St
City
Oklahoma City
State
Oklahoma
Zip
73102-1070
Phone Number
405-272-6027
Fax Number
405-272-8315
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
-
Taxonomy
207Y00000X
License No.
14220 (Oklahoma)
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
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