Individual provider · Type 1 NPI
Nicholas William Clark, MD
Facial Plastic Surgery Physician · Oklahoma City, OK
NPI number
1386106201
Active
Practice location
3300 NW 56th St Ste 202
Oklahoma City, OK 73112-4401
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Otolaryngology Physician | 207Y00000X | 99942 (GA) |
| Facial Plastic Surgery Physician Primary | 207YS0123X | 45294 (OK) |
| Otolaryngology Physician | 207Y00000X | 249966 (NC) |
Facial Plastic Surgery Physician: An otolaryngologist who specializes in facial plastic surgery.
Another provider at this address
Other facial plastic surgery physician providers in Oklahoma City
About NPI 1386106201
Nicholas William Clark, MD's National Provider Identifier is 1386106201, issued on Apr 1, 2019. The primary taxonomy on file is Facial Plastic Surgery Physician (207YS0123X), and the practice location is in Oklahoma City, OK. The record was last updated on Oct 22, 2025.