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Jeff E Northcutt Md Pllc
Specialist in Ponca City, Oklahoma
NPI 1154475887

Jeff E Northcutt Md Pllc is a Specialist based in Ponca City, OK. Jeff E Northcutt Md Pllc practices in Ponca City, OK. The NPI Number for Jeff E Northcutt Md Pllc is 1154475887 and holds a License No. 22394 (Oklahoma).

The current practice location address for Jeff E Northcutt Md Pllc is 1908 N 14Th St Ste 206, Ponca City, OK and can be reached out via phone at 580-762-8045 and via fax at 580-762-2798.

Location: 1908 N 14Th St Ste 206, Ponca City, OK, 74601-2039
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1154475887
Provider Name
Jeff E Northcutt Md Pllc
Credential
Provider Entity Type
Organization
Address
1908 N 14Th St Ste 206, Ponca City, OK, 74601-2039
Phone Number
580-762-8045
Fax Number
580-762-2798
Provider Enumeration Date
01/22/2007
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
200058550A 05 OK
institution
Provider Business Practice Location Address Details
Address
1908 N 14Th St Ste 206
City
Ponca City
State
Oklahoma
Zip
74601-2039
Phone Number
580-762-8045
Fax Number
580-762-2798
person
Provider Business Mailing Address Details
Address
1908 N 14Th St Ste 206
City
Ponca City
State
Oklahoma
Zip
74601-2039
Phone Number
580-762-8045
Fax Number
580-762-2798
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
22394 (Oklahoma)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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