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Dr. Clayton David Dejarnett, D.O.

Family Medicine in Owasso, OK. Individual provider (NPI-1).

NPI number1891723896
StatusActive
Last updated in NPPESApr 6, 2009

Details

NPI
1891723896
Entity type
Individual (NPI-1)
Name
Dr. Clayton David Dejarnett
Credential
D.O.
Sex
Male
Sole proprietor
No
Enumeration date
Jun 29, 2006
Last updated
Apr 6, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine1945OKYes

Practice location

10512 North 110th East Avenue
Owasso, OK 74055-6638

Phone 918-376-8900 · Fax 918-272-7475

Mailing address

1145 S Utica Avenue
Suite 110
Tulsa, OK 74104-4013

Phone 918-579-3826 · Fax 918-579-1262

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