Male or Other

Clell W. Pond DO

Emergency Medical Services (Emergency Medicine) Physician in Tulsa, OK(View on Map)

Full Name

Clell W Pond DO

NPI Number

1093795510

NPI Type

Individual Provider

Gender

Male

Enumeration Date

01/19/2006

Specialties

(Taxonomies)

Code

207PE0004X

Primary Taxonomy

Yes

Licenses

State

Oklahoma

License Number

3484

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 5358
8801 S 101ST EAST AVE

City

Norman
Tulsa

State

OK
OK

Postal Code

73070-5358
74133-5716

Country

US
US

Telephone Number

(866) 321-8433
(918) 294-4000

Identifiers

Identifier

100096560C

Identifier State

OK

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address

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