Individual provider · Type 1 NPI

Clark Jiro Tingleaf, MD

Urology Physician · Owasso, OK

NPI number 1881624153 Active

Practice location

10512 N 110th East Ave, Ste 200
Owasso, OK 74055-6636

Call (918) 376-8926 Map

Fax (918) 377-8936

Specialties and licenses

TaxonomyCodeLicense
Urology Physician Primary 208800000X23509 (OK)

Urology Physician: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

21 other providers at this address

About NPI 1881624153

Clark Jiro Tingleaf, MD's National Provider Identifier is 1881624153, issued on Jul 3, 2006. The primary taxonomy on file is Urology Physician (208800000X), and the practice location is in Owasso, OK. The record was last updated on Sep 24, 2019.