NPI 1346613833
St. Mary's Physician Associates, LLC
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
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.