NPI 1003180068
Wendy Renee Burg
Practice location
- Address
- 1700 Holbrook St, Ponca City, OK 74604-3809
- Phone
- (580) 716-3411
Registered specialties
Community/Behavioral Health Agency
Primary
Registry record
- NPI
- 1003180068
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 7 Mar 2012
- Record last updated
- 7 Mar 2012
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.