Provider Demographics
NPI:1689985723
Name:SCHOONOVER, CLARA L
Entity Type:Individual
Prefix:MRS
First Name:CLARA
Middle Name:L
Last Name:SCHOONOVER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:710 NW 1ST ST
Mailing Address - Street 2:P.O. BOX 771
Mailing Address - City:ANADARKO
Mailing Address - State:OK
Mailing Address - Zip Code:73005-2017
Mailing Address - Country:US
Mailing Address - Phone:405-247-6500
Mailing Address - Fax:
Practice Address - Street 1:710 NW 1ST ST
Practice Address - Street 2:710 NW 1ST
Practice Address - City:ANADARKO
Practice Address - State:OK
Practice Address - Zip Code:73005-2017
Practice Address - Country:US
Practice Address - Phone:405-247-6500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-23
Last Update Date:2010-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist