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1457398141
JAMES MICHAEL PONTIOUS
ENID, OK
NPI
1457398141
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OK 12733)
Enumeration Date
2006-06-01
Last Update Date
2021-08-24
Business Address
JAMES MICHAEL PONTIOUS MD
302 N INDEPENDENCE STREET SUITE 700
ENID, OK 73701-4046
Phone number: 580-249-3795
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Mailing Address
JAMES MICHAEL PONTIOUS MD
367 S GULPH RD, ATN :IPM CREDENTIALING
KING OF PRUSSIA, PA 19406-3121
Phone number: 580-249-3795
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