PONCA CITY ORTHOPAEDIC AND SPORTS MEDICINE CLINIC INC NPI 1730307422

NPI Information

PONCA CITY ORTHOPAEDIC AND SPORTS MEDICINE CLINIC, INC is a specialist in Ponca City, OK. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. PONCA CITY ORTHOPAEDIC AND SPORTS MEDICINE CLINIC, INC NPI is 1730307422. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

119 PATTON DR
PONCA CITY, OK
ZIP 74601-030
Phone: (580) 765-8240

The provider's authorized official is Lori L Boring .
The authorized official title is Office Manager and has the following contact phone number (580) 765-8240.

The enumeration date for this NPI number is 4/20/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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