Robert Clendenin
Procedural Dermatology
432 N Broadway Ave
Shawnee
, Oklahoma 74801-6922
Robert Clendenin
Procedural Dermatology
432 N Broadway Ave
Shawnee
, Oklahoma 74801-6922
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About
Features
Specialties
- Procedural Dermatology
Languages spoken
- English
Location
First Address
- Robert Clendenin
- 93 S Jackson St # 98961
- Seattle, WA
- Zip : 98104-2818
- Phone :
Second Address
- Robert Clendenin
- 432 N Broadway Ave
- Shawnee, OK
- Zip : 74801-6922
- Phone : (405) 562-8380
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207NS0135X | Procedural Dermatology | 10884 | OK |
National Provider Identifier
| NPI | 1427436088 |
|---|---|
| Provider Name | Robert Clendenin |
| First Address | Seattle, WA 98104-2818 |
| Second Address | Shawnee, OK 74801-6922 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/05/2015 |
| Last Update Date | 14/05/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.