| NPI | 1922790666 |
|---|---|
| Doing Business As | ALLIANCEHEALTH PONCA CITY |
| Entity Type | Organization |
| Authorized Contact | JENNIFER L JACKSON Senior Director Provider Enrollment 615-465-3334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Enumeration Date | 2023-05-22 |
| Last Update Date | 2023-05-23 |