Julie B Clark (NPI# 1093737439, PAC ID# 2860496189) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1093737439 |
| PAC ID by PECOS | 2860496189 |
| Professional Enrollment ID | I20061007000017 |
| Full Name | Julie B Clark |
| Address |
307 N Broadway St Poteau OK 74953-3355 |
| Gender | F |
| Credential | PA |
| Medical School | UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE |
| Graduation Year | 2006 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 371337 | EASTERN OKLAHOMA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 307 N Broadway St, Poteau, OK 74953-3355 |
| Street Address |
307 N BROADWAY ST |
| City | POTEAU |
| State | OK |
| Zip | 74953-3355 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lena Faye Burns | Nurse Practitioner | Healthmax Center LLC | 2202 N Broadway St, Poteau, OK 74953-2000 |
| Tracy Kay Fiser | Nurse Practitioner | Fort Smith Hma Pbc Management LLC | 1200 Central St, Poteau, OK 74953-2320 |
| Timothy Ray Olive | Nurse Practitioner | Mercy Clinic Fort Smith Communities | 2110 N Broadway St, Poteau, OK 74953-2501 |
| Steven C Dryer | Chiropractic | 2112 N Broadway St, Poteau, OK 74953-2501 | |
| Arthur W Pearson Iii | Family Medicine | Mercy Clinic Fort Smith Communities | 2110 N Broadway St, Poteau, OK 74953-2501 |
| Steven Paul Medeiros | Emergency Medicine | Steven P Medeiros Do Inc | 101 Smith Ave, Poteau, OK 74953-2613 |
| Skip H Baxter | Physical Therapy | 1932 N Broadway, Poteau, OK 74953-2638 | |
| Karolyn M Patterson | Physical Therapy | Physical Therapy, Inc | 1932 N Broadway, Poteau, OK 74953-2638 |
| James Edward Dunn | Optometry | 901 Grace St, Poteau, OK 74953-2817 | |
| Autumn R Hembree | Nurse Practitioner | T Jarel Brown Aprn-cnp Pllc | 210 W Robert St, Poteau, OK 74953-2942 |
| Find all physicians in zip 74953 | |||
| City | POTEAU |
| Zip Code | 74953 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | POTEAU + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Julie B Clark.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.