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620 S Madison St Suite 304 Enid OK 73701-7273 | |
(580) 242-1300 | |
(580) 237-7913 |
Full Name | |
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Speciality | Family Medicine |
Location | 620 S Madison St, Enid, Oklahoma |
Authorized Official Name and Position | James Michael Pontious (PROFESSOR DIRECTOR) |
Authorized Official Contact | 5802421300 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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620 S Madison St Suite 304 Enid OK 73701-7273 Ph: (580) 242-1300 | 620 S Madison St Suite 304 Enid OK 73701-7273 Ph: (580) 242-1300 |
NPI Number | 1083626246 |
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Provider Enumeration Date | 08/13/2006 |
Last Update Date | 10/16/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083626246 | NPI | - | NPPES |
1164478590 | Other | OK | DR. MARGO SHORT NPI # |
1457398141 | Other | OK | DR. PONTIOUS NPI # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 261QM2500X (Oklahoma) | Primary |
Daniel D. Washburn, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1815 E Maple Ave, Enid, OK 73701 Phone: 580-242-1881 Fax: 580-234-2090 | |
Care Pathways, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 330 S 5th St Ste 206, Enid, OK 73701 Phone: 405-928-2727 Fax: 405-928-2720 | |
Reliant Health & Wellness Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 822 W Randolph Ave, Enid, OK 73701 Phone: 580-599-0272 Fax: 580-603-8602 | |