NORTHERN OKLAHOMA REGIONAL PEDIATRIC CLINIC, PLLC

PONCA CITY, OK
NPI1053486431
Entity TypeOrganization
Authorized ContactCHRIS W POLLAK
Administrator
580-765-5569
Organization Subpart ?No
Primary Taxonomy2080A0000X Pediatrics, Adolescent Medicine
Enumeration Date2006-11-21
Last Update Date2017-05-12
Business Address
NORTHERN OKLAHOMA REGIONAL PEDIATRIC CLINIC, PLLC
415 FAIRVIEW AVE STE. 100
PONCA CITY, OK 74601-1923
Phone number: 580-765-5569
Mailing Address
NORTHERN OKLAHOMA REGIONAL PEDIATRIC CLINIC, PLLC
415 FAIRVIEW AVE STE. 100
PONCA CITY, OK 74601-1923
Phone number: 580-765-5569
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