institution
Ponca City Primary Care Llc
Family Nurse Practitioner in Ponca City, Oklahoma
NPI 1831472620

Ponca City Primary Care Llc is a Family Nurse Practitioner based in Ponca City, OK and is specialized in Family. Ponca City Primary Care Llc practices in Ponca City, OK. The NPI Number for Ponca City Primary Care Llc is 1831472620 and holds a License No. R0050756 (Oklahoma).

The current practice location address for Ponca City Primary Care Llc is 417 Fairview Ave, Ponca City, OK and can be reached out via phone at 580-762-6100 and via fax at 580-762-6104. You can also correspond with Ponca City Primary Care Llc through the mailing address at 417 FAIRVIEW AVE, PONCA CITY, OK - 74601-1923 (mailing address contact number: 580-762-6100).

Location: 417 Fairview Ave, Ponca City, OK, 74601-1923
institution
Provider Profile Details
NPI Number
1831472620
Provider Name
Ponca City Primary Care Llc
Credential
Provider Entity Type
Organization
Address
417 Fairview Ave, Ponca City, OK, 74601-1923
Phone Number
580-762-6100
Fax Number
580-762-6104
Provider Enumeration Date
09/28/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
417 Fairview Ave
City
State
Zip
74601-1923
Phone Number
580-762-6100
Fax Number
580-762-6104
person
Provider Business Mailing Address Details
Address
417 Fairview Ave
City
State
Zip
74601-1923
Phone Number
580-762-6100
Fax Number
580-762-6104
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R0050756 (Oklahoma)
Definition
Definition to come...
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