Whalio Doctors

NPI 1346613833

St. Mary's Physician Associates, LLC

Organisation Durable Medical Equipment & Medical Supplies Ponca City, OK

Practice location

Address
1908 N 14th Street Suite 203, Ponca City, OK 74601-2039
Phone
(580) 249-3929
Fax
(580) 234-3301
Mailing address
PO Box 844737 Att: Ipm Credentialing, Dallas, TX 75284-4737

Authorised official

Name
Todd Evans
Title
Vice President
Phone
(610) 768-3300

Registered specialties

Durable Medical Equipment & Medical Supplies Primary
Suppliers Taxonomy 332B00000X

Registry record

NPI
1346613833
Entity type
Organization
NPI issued
5 Nov 2015
Record last updated
28 Jun 2019

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.