Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 35784 | OK |
NPI | 1023675501 |
---|---|
Provider Name | Cynthia K Mcclard |
First Address | Oklahoma City, OK 73104-5014 |
Second Address | Oklahoma City, OK 73104-5014 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/05/2019 |
Last Update Date | 25/06/2020 |