Provider Demographics
NPI:1093868259
Name:CLAFLIN, DALE GENE (MD)
Entity Type:Individual
Prefix:DR
First Name:DALE
Middle Name:GENE
Last Name:CLAFLIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:7500 BRENDA CIR
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73026-4519
Mailing Address - Country:US
Mailing Address - Phone:405-613-8228
Mailing Address - Fax:
Practice Address - Street 1:921 NE 23RD ST
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73105-7936
Practice Address - Country:US
Practice Address - Phone:405-425-4486
Practice Address - Fax:405-419-4250
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK199802083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine