John W. Holden, M.d., P.c. | |
427 Fairview Ave Ponca City OK 74601-1923 | |
(580) 765-9299 | |
(580) 765-2199 |
Full Name | John W. Holden, M.d., P.c. |
---|---|
Speciality | Internal Medicine |
Location | 427 Fairview Ave, Ponca City, Oklahoma |
Authorized Official Name and Position | John W. Holden (OWNER/ PHYSICIAN) |
Authorized Official Contact | 5807659299 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
John W. Holden, M.d., P.c. 427 Fairvew Ave Ponca City OK 74601-1923 Ph: (580) 765-9299 | John W. Holden, M.d., P.c. 427 Fairview Ave Ponca City OK 74601-1923 Ph: (580) 765-9299 |
NPI Number | 1235438219 |
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Provider Enumeration Date | 03/16/2011 |
Last Update Date | 03/16/2011 |
Medicare PECOS PAC ID | 9234317827 |
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Medicare Enrollment ID | O20110630000273 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235438219 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 21238 (Oklahoma) | Primary |
Provider Name | John W Holden |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1427034792 PECOS PAC ID: 9133171572 Enrollment ID: I20050315000212 |
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