Organization · Type 2 NPI

St. Mary's Physician Associates, LLC

Durable Medical Equipment & Medical Supplies · Ponca City, OK

NPI number 1346613833 Active

Practice location

1908 N 14th Street, Suite 203
Ponca City, OK 74601-2039

Call (580) 249-3929 Map

Fax (580) 234-3301

Mailing address

PO Box 844737, Att: Ipm Credentialing
Dallas, TX 75284-4737

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies Primary	332B00000X	None listed

Durable Medical Equipment & Medical Supplies: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Other durable medical equipment & medical supplies providers in Ponca City

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NPI record

NPI: 1346613833
Entity type: Organization (Type 2)
Issued: Nov 5, 2015
Last updated: Jun 28, 2019
Status: Active

Other names

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St. Mary's Podiatry Clinic · doing business as
St. Mary's Podiatry Clinic · doing business as

Authorized official

Todd Evans
Vice President
(610) 768-3300

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1346613833

St. Mary's Physician Associates, LLC's National Provider Identifier is 1346613833, issued on Nov 5, 2015. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Ponca City, OK. The record was last updated on Jun 28, 2019.