Organization · Type 2 NPI

Northern Oklahoma Regional Pediatric Clinic, PLLC

Pediatric Adolescent Medicine Physician · Ponca City, OK

NPI number 1053486431 Active

Practice location

415 Fairview Ave, Ste. 100
Ponca City, OK 74601-1923

Fax (580) 765-2020

Specialties and licenses

TaxonomyCodeLicense
Pediatric Adolescent Medicine Physician Primary 2080A0000XNone listed

Pediatric Adolescent Medicine Physician: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

5 other providers at this address

About NPI 1053486431

Northern Oklahoma Regional Pediatric Clinic, PLLC's National Provider Identifier is 1053486431, issued on Nov 21, 2006. The primary taxonomy on file is Pediatric Adolescent Medicine Physician (2080A0000X), and the practice location is in Ponca City, OK. The record was last updated on May 12, 2017.