| John W. Holden, M.D., P.C. | |
|
427 Fairview Ave Ponca City OK 74601-1923 | |
| (580) 765-9299 | |
| (580) 765-2199 |
| Full Name | John W. Holden, M.D., P.C. |
|---|---|
| Speciality | Internal Medicine |
| Location | 427 Fairview Ave, Ponca City, Oklahoma |
| Authorized Official Name and Position | John W. Holden (OWNER/ PHYSICIAN) |
| Authorized Official Contact | 5807659299 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John W. Holden, M.D., P.C. 427 Fairvew Ave Ponca City OK 74601-1923 Ph: (580) 765-9299 | John W. Holden, M.D., P.C. 427 Fairview Ave Ponca City OK 74601-1923 Ph: (580) 765-9299 |
| NPI Number | 1235438219 |
|---|---|
| Provider Enumeration Date | 03/16/2011 |
| Last Update Date | 03/16/2011 |
| Medicare PECOS PAC ID | 9234317827 |
|---|---|
| Medicare Enrollment ID | O20110630000273 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235438219 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 21238 (Oklahoma) | Primary |
| Provider Name | John W Holden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427034792 PECOS PAC ID: 9133171572 Enrollment ID: I20050315000212 |
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