Northern Oklahoma Regional Pediatric Clinic, PLLC
Northern Oklahoma Regional Pediatric Clinic, PLLC provides Pediatric Adolescent Medicine Physician services in Ponca City, Oklahoma. Registered with an NPI since 2006.
- In the registry since
- 2006
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
415 Fairview Ave Ste 100Ponca City, OK 74601-1923
Phone: (580) 765-5569
Fax: (580) 765-2020
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Adolescent Medicine Physician (primary) | Taxonomy 2080A0000X |
|---|
Record details
| NPI number | 1053486431 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Chris Pollak — Administrator · (580) 765-5569 |
| NPI enumerated | November 21, 2006 |
| Last updated in NPPES | May 12, 2017 |
| Mailing address | 415 Fairview Ave, Ste. 100, Ponca City, OK 74601-1923 |