Keith Fredrick Clark, MDPHD
Keith Fredrick Clark, MDPHD is an Otolaryngology in Oklahoma City, Oklahoma. Graduated from University of Michigan Medical School in 1978, 48 years ago. Practices with Saints Medical Group, LLC, a 431-clinician group and accepts Medicare assignment. Licensed in Oklahoma.
- Years since qualifying
- 48
- Trained at
- University of Michigan Medical School
- Licensed in
- OK
- In the registry since
- 2006
Practice location Address checks out
535 NW 9th St Ste 300Oklahoma City, OK 73102-1070
Phone: (405) 272-6027
Fax: (405) 272-8315
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Otolaryngology Physician (primary) | Taxonomy 207Y00000X · Licence 14220 (OK) |
|---|
Record details
| NPI number | 1376506642 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MDPHD |
| Sole proprietor | No |
| NPI enumerated | April 8, 2006 |
| Last updated in NPPES | October 18, 2020 |
| Certification date | October 18, 2020 |
Medicare enrollment
| Medicare specialty | OTOLARYNGOLOGY |
|---|---|
| Medical school | UNIVERSITY OF MICHIGAN MEDICAL SCHOOL |
| Graduated | 1978 (48 years in practice) |
| Group practice | Saints Medical Group, Llc — 431 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
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