Ponca City Orthopaedic and Sports Medicine Clinic, INC
NPI #1730307422 in Ponca City, Oklahoma
Provider Information
- NPI Number
- 1730307422
- Entity Type
- Organization
- Organization Name
- Ponca City Orthopaedic and Sports Medicine Clinic, INC
- Primary Specialty
- Specialist
- Enumeration Date
- Apr 20, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 119 PATTON DR
- City
- Ponca City
- State
- Oklahoma
- ZIP Code
- 74601-2030
- Phone
- (580) 765-8240
Authorized Official
- Name
- MRS. LORI L BORING, RT
- Title
- OFFICE MANAGER
- Phone
- (580) 765-8240
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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