NPI 1083626246

University of Oklahoma Health Scien Ctr Col of Med Enid Fam Med

Organisation Family Medicine Physician Enid, OK

Practice location

Address: 620 S Madison St Suite 304, Enid, OK 73701-7273
Phone: (580) 242-1300
Fax: (580) 237-7913

Authorised official

Name: James Michael Pontious
Title: Professor Director
Phone: (580) 242-1300

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 261QM2500X (OK)

Other Family Medicine providers in Oklahoma →

Registry record

NPI: 1083626246
Entity type: Organization
NPI issued: 13 Aug 2006
Record last updated: 16 Oct 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.