Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NORTHERN OKLAHOMA REGIONAL PEDIATRIC CLINIC, PLLC
Active OrganizationNORTHERN OKLAHOMA REGIONAL PEDIATRIC CLINIC, PLLC is a Adolescent Medicine (Pediatrics) organization located in PONCA CITY, Oklahoma. NPI 1053486431 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine (Pediatrics) · PONCA CITY, OK
Registration Details
- NPI Number
- 1053486431
- Provider Type
- Organization
- NPI Issued
- Nov 21, 2006 (19.758192480348 yrs)
- Last Updated
- May 12, 2017
Practice Information
- Address
-
415 FAIRVIEW AVESTE. 100PONCA CITY, OK, 746011923Browse OK providers · Browse ZIP 74601
- Phone
- 5807655569
- Fax
- 5807652020
- Primary Specialty
-
Adolescent Medicine (Pediatrics)
2080A0000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.