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Dr. Clark Jiro Tingleaf, MD
Urology Physician in Owasso, Oklahoma
NPI 1881624153

Clark Jiro Tingleaf is a Urology Physician based in Owasso, OK. Clark Jiro Tingleaf practices in Owasso, OK and has the professional credentials of MD. The NPI Number for Clark Jiro Tingleaf is 1881624153 and holds a License No. 23509 (Oklahoma).

The current practice location address for Clark Jiro Tingleaf is 10512 N 110Th East Ave, Owasso, OK and can be reached out via phone at 918-376-8926 and via fax at 918-377-8936.

Location: 10512 N 110Th East Ave, Owasso, OK, 74055-6636
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881624153
Provider Name
Clark Jiro Tingleaf
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
10512 N 110Th East Ave, Owasso, OK, 74055-6636
Phone Number
918-376-8926
Fax Number
918-377-8936
Provider Enumeration Date
07/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200015250B 05 OK
institution
Provider Business Practice Location Address Details
Address
10512 N 110Th East Ave
City
Owasso
State
Oklahoma
Zip
74055-6636
Phone Number
918-376-8926
Fax Number
918-377-8936
person
Provider Business Mailing Address Details
Address
10512 N 110Th East Ave
City
Owasso
State
Oklahoma
Zip
74055-6636
Phone Number
918-376-8926
Fax Number
918-377-8936
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
23509 (Oklahoma)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
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