| University Of Oklahoma Health Scien Ctr Col Of Med Enid Fam Med | |
|
620 S Madison St Suite 304 Enid OK 73701-7273 | |
| (580) 242-1300 | |
| (580) 237-7913 |
| Full Name | University Of Oklahoma Health Scien Ctr Col Of Med Enid Fam Med |
|---|---|
| Speciality | Family Medicine |
| Location | 620 S Madison St, Enid, Oklahoma |
| Authorized Official Name and Position | James Michael Pontious (PROFESSOR DIRECTOR) |
| Authorized Official Contact | 5802421300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| University Of Oklahoma Health Scien Ctr Col Of Med Enid Fam Med 620 S Madison St Suite 304 Enid OK 73701-7273 Ph: (580) 242-1300 | University Of Oklahoma Health Scien Ctr Col Of Med Enid Fam Med 620 S Madison St Suite 304 Enid OK 73701-7273 Ph: (580) 242-1300 |
| NPI Number | 1083626246 |
|---|---|
| Provider Enumeration Date | 08/13/2006 |
| Last Update Date | 10/16/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083626246 | NPI | - | NPPES |
| 1164478590 | Other | OK | DR. MARGO SHORT NPI # |
| 1457398141 | Other | OK | DR. PONTIOUS NPI # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 261QM2500X (Oklahoma) | Primary |
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