Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael P Clark

Individual provider Peer Specialist · NPI 1417732397

Michael P Clark is a Peer Specialist in Tahlequah, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2023

Practice location Address checks out

1011 S Muskogee Ave
Tahlequah, OK 74464-4733
Phone: (918) 525-6035
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X (OK)

Record details

NPI number1417732397
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 29, 2023
Last updated in NPPESAugust 29, 2023
Certification dateAugust 29, 2023
Mailing address1011 S Muskogee Ave, Tahlequah, OK 74464-4733

Other providers in Tahlequah