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Jeff E Northcutt, MD
Specialist in Ponca City, Oklahoma
NPI 1174566772

Jeff E Northcutt is a Specialist based in Ponca City, OK. Jeff E Northcutt practices in Ponca City, OK and has the professional credentials of MD. The NPI Number for Jeff E Northcutt is 1174566772 and holds a License No. 22394 (Oklahoma).

The current practice location address for Jeff E Northcutt is 1908 N 14Th St, 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, Ponca City, OK, 74601-2014
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174566772
Provider Name
Jeff E Northcutt
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1908 N 14Th St, Ponca City, OK, 74601-2014
Phone Number
580-762-8045
Fax Number
580-762-2798
Provider Enumeration Date
06/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100120210A 05 OK
institution
Provider Business Practice Location Address Details
Address
1908 N 14Th St
City
Ponca City
State
Oklahoma
Zip
74601-2014
Phone Number
580-762-8045
Fax Number
580-762-2798
person
Provider Business Mailing Address Details
Address
1908 N 14Th St
City
Ponca City
State
Oklahoma
Zip
74601-2014
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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