Triad Complete Care, Llc | |
2703 N 14th St Ponca City OK 74601-1738 | |
(580) 749-7846 | |
Not Available |
Full Name | Triad Complete Care, Llc |
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Speciality | Family Medicine |
Location | 2703 N 14th St, Ponca City, Oklahoma |
Authorized Official Name and Position | Matthew Bintz (CEO) |
Authorized Official Contact | 5807497846 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Triad Complete Care, Llc 2703 N 14th St Ponca City OK 74601-1738 Ph: (580) 749-7846 | Triad Complete Care, Llc 2703 N 14th St Ponca City OK 74601-1738 Ph: (580) 749-7846 |
NPI Number | 1609687771 |
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Provider Enumeration Date | 01/16/2025 |
Last Update Date | 01/16/2025 |
Identifier | Type | State | Issuer |
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1609687771 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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