PREMIER PHYSICAL MEDICINE LLC

PONCA CITY, OK
NPI1710229836
Entity TypeOrganization
Authorized ContactTANNER P HANCOCK
Owner
316-683-9500
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2013-03-27
Last Update Date2013-03-27
Business Address
PREMIER PHYSICAL MEDICINE LLC
3011 N UNION ST
PONCA CITY, OK 74601-7400
Phone number: 316-683-9500
Mailing Address
PREMIER PHYSICAL MEDICINE LLC
6224 SHADYBROOK ST
WICHITA, KS 67208-1844
Phone number: 316-683-9500
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