Clark Jiro Tingleaf is a Urology in Owasso, Oklahoma. Clark Jiro Tingleaf practices all healthcare services and medical treatments related to Urology. The NPI Number for Clark Jiro Tingleaf is 1881624153. The last update date is 2019-09-24.
Clark Jiro Tingleaf's current location address is 10512 N 110th East Ave, Owasso, Oklahoma. You can contact this provider via phone number 9183768926 and fax number 9183778936. The mailing address for Clark Jiro Tingleaf is 10512 N 110th East Ave, Owasso, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clark Jiro Tingleaf |
|---|---|
| Address | 10512 N 110th East Ave, Owasso, Oklahoma |
| Phone Number | 9183768926 |
| Fax Number | 9183778936 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1881624153 |
|---|---|
| Provider Enumeration Date | 2006-07-03 |
| Last Updated Date | 2019-09-24 |
Provider Mailing Address Detail
| Address | 10512 N 110th East Ave |
|---|---|
| City | Owasso |
| State | Oklahoma (OK) |
| Post Code | 740556636 |
| Phone Number | 9183768926 |
| Fax Number | 9183778936 |
Provider's Primary Taxonomy Detail
| Speciality | Urology |
|---|---|
| Taxonomy | 208800000X |
| Licence No | 23509 |
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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 acquir |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200015250B | OK | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Clark Jiro Tingleaf by the Centers for Medicare & Medicaid Services?
The Clark Jiro Tingleaf has been issued the NPI (National Provider Identifier) 1881624153 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Clark Jiro Tingleaf is geographically located?
The Clark Jiro Tingleaf is physically situated at the following location: 10512 N 110Th East Ave, Owasso, OK, 740556636.
What is Clark Jiro Tingleaf's specialized field of practice, and what is the corresponding taxonomy classification code?
The Clark Jiro Tingleaf's area of specialization is Urology, and the corresponding taxonomy code that categorizes this field of practice is 208800000X.
When did Clark Jiro Tingleaf receive its 1881624153 assignment?
The Clark Jiro Tingleaf was assigned its 1881624153 on 2006-07-03, which is the date when this unique identifier was issued to the organization.
When was the information related to Clark Jiro Tingleaf most recently updated or refreshed?
The details pertaining to the Clark Jiro Tingleaf, including its address, specialty, and other relevant information, were last updated or refreshed on 2019-09-24.
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