Jonathan R Clark, DO in Poteau, OK - Emergency Medicine

Jonathan R Clark, DO is a Emergency Medicine physician based in Poteau, Oklahoma. Jonathan R Clark is licensed to practice in Oklahoma (license number 2355) and his current practice location is 105 Wall St, Poteau, Oklahoma. He can be reached at his office (for appointments etc.) via phone at (918) 635-3400.

NPI number for Jonathan R Clark is 1962477216 and his current mailing address is Po Box 65592, Charlotte, North Carolina. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1962477216.

Contact Information

	Jonathan R Clark, DO
	105 Wall St, Poteau, OK 74953-4433
	(918) 635-3400
	(918) 635-3394

Physician's Profile

Full Name	Jonathan R Clark
Gender	Male
Speciality	Emergency Medicine
Location	105 Wall St, Poteau, Oklahoma
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1962477216
Provider Enumeration Date: 02/21/2006
Last Update Date: 09/14/2007

Medical Identifiers

Medical identifiers for Jonathan R Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962477216	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	2355 (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. Jonathan R Clark 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
Jonathan R Clark, DO Po Box 65592, Charlotte, NC 28265-0592 Ph: (800) 377-8721	Jonathan R Clark, DO 105 Wall St, Poteau, OK 74953-4433 Ph: (918) 635-3400

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Emergency Medicine Doctors in Poteau, OK

Ahmer Hussain, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1001 N Broadway St, Box 787, Poteau, OK 74953 Phone: 918-649-0731 Fax: 918-649-3960
Jeffrey M Spear, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 105 Wall St, Poteau, OK 74953 Phone: 918-635-3400 Fax: 918-635-3394

Jonathan R Clark, DO - Emergency Medicine in Poteau, OK