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WYSONG, CLARK BENNETT III       
Practice Address: FAMILY PRACTICE SPECIALISTS
4319 NORTH 32ND STREET
PHOENIX AZ 85018
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 19521
Dated: 8/24/1995
Expires: 8/1/1998
Training Issued: 6/23/1994
Training Expires: 6/1/1996
License Type: Medical Doctor
Specialty: Family Medicine
Emergency Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 6 / 1994
CME Year:
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications:
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
FAMILY PRACTICE SPECIALISTS
4319 NORTH 32ND STREET
PHOENIX AZ 85018

Phone #:
Fax #:

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