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Northern Oklahoma Regional Pediatric Clinic, Pllc
Pediatric Adolescent Medicine Physician in Ponca City, Oklahoma
NPI 1053486431

Northern Oklahoma Regional Pediatric Clinic, Pllc is a Pediatric Adolescent Medicine Physician based in Ponca City, OK and is specialized in Adolescent Medicine. Northern Oklahoma Regional Pediatric Clinic, Pllc practices in Ponca City, OK. The NPI Number for Northern Oklahoma Regional Pediatric Clinic, Pllc is 1053486431 and holds a License No. (Oklahoma).

The current practice location address for Northern Oklahoma Regional Pediatric Clinic, Pllc is 415 Fairview Ave, Ponca City, OK and can be reached out via phone at 580-765-5569 and via fax at 580-765-2020.

Location: 415 Fairview Ave, Ponca City, OK, 74601-1923
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1053486431
Provider Name
Northern Oklahoma Regional Pediatric Clinic, Pllc
Credential
Provider Entity Type
Organization
Address
415 Fairview Ave, Ponca City, OK, 74601-1923
Phone Number
580-765-5569
Fax Number
580-765-2020
Provider Enumeration Date
11/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100749170C 05 OK
institution
Provider Business Practice Location Address Details
Address
415 Fairview Ave
City
Ponca City
State
Oklahoma
Zip
74601-1923
Phone Number
580-765-5569
Fax Number
580-765-2020
person
Provider Business Mailing Address Details
Address
415 Fairview Ave
City
Ponca City
State
Oklahoma
Zip
74601-1923
Phone Number
580-765-5569
Fax Number
580-765-2020
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Adolescent Medicine
Taxonomy
2080A0000X
License No.
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Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
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