PONCA CITY PRIMARY CARE LLC

PONCA CITY, OK
NPI1831472620
Entity TypeOrganization
Authorized ContactAHMAD S AGHA
President
580-762-6100
Organization Subpart ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OK  R0050756)
Enumeration Date2011-09-28
Last Update Date2011-09-28
Business Address
PONCA CITY PRIMARY CARE LLC
417 FAIRVIEW AVE
PONCA CITY, OK 74601-1923
Phone number: 580-762-6100
Mailing Address
PONCA CITY PRIMARY CARE LLC
417 FAIRVIEW AVE
PONCA CITY, OK 74601-1923
Phone number: 580-762-6100