CLARK, SPENCER NEPHI - Licensee Information

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

CLARK, SPENCER NEPHI

This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.

Practice Address:	INTEGRATED CLINIX 220 W WILSHIRE BLVD STE F2-3 OKLAHOMA CITY OK 73116 Address last updated on 4/15/2021
Phone #:	(801) 822-1880
Fax #:
County:	OKLAHOMA
License:	104793
Dated:	4/14/2021
Expires:	5/31/2025
License Type:	Physical Therapist
Specialty:

Status:	Active
Status Class:	Licensed Under Compact Verify current information on PT Compact site
Restricted to:
CME Year:	0

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.

Locations:	Hours:	Languages:
INTEGRATED CLINIX 220 W WILSHIRE BLVD STE F2-3 OKLAHOMA CITY OK 73116 Phone #: (801) 822-1880 Fax #:

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