| Bruce Baugher D.o., Pc | |
|
1908 N 14th St Suite 207 Ponca City OK 74601-2014 | |
| (580) 763-5900 | |
| (580) 763-5901 |
| Full Name | Bruce Baugher D.o., Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1908 N 14th St, Ponca City, Oklahoma |
| Authorized Official Name and Position | Bruce Earl Baugher (PRESIDENT) |
| Authorized Official Contact | 5807635900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bruce Baugher D.o., Pc 1908 N 14th St Suite 207 Ponca City OK 74601-2014 Ph: (580) 763-5900 | Bruce Baugher D.o., Pc 1908 N 14th St Suite 207 Ponca City OK 74601-2014 Ph: (580) 763-5900 |
| NPI Number | 1134294770 |
|---|---|
| Provider Enumeration Date | 11/21/2006 |
| Last Update Date | 04/27/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134294770 | NPI | - | NPPES |
| 7114671 | Other | OK | AETNA |
| P00252783 | Other | OK | RAILROAD MEDICARE |
| 446487280001 | Other | OK | BLUE CROSS BLUE SHIELD |
| 200059980D | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4051 (Oklahoma) | Primary |
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