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NPI Code Detail

MEDICARE: DR. CLAYTON WAYNE FLANARY DO

MEDICARE: DR. CLAYTON WAYNE FLANARY DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician3190OK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1740215680
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CLAYTON WAYNE FLANARY DO
Provider Business Mailing Address
First Line : 10109 E 79TH ST
Second Line :
City : TULSA
State : OK
Zip : 74133-4682
Country : US
Telephone Number : 918-233-9550
Fax Number : 918-216-8095
Provider Business Practice Location Address
First Line : 10109 E 79TH ST
Second Line :
City : TULSA
State : OK
Zip : 74133-4682
Country : US
Telephone Number : 918-233-9550
Fax Number : 918-216-8095
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2006
Last Update Date : 09/08/2025

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