# UNIVERSITY OF OKLAHOMA HEALTH SCIEN CTR COL OF MED ENID FAM MED

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Enid Family Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083626246
- **Authorized official:** DR. JAMES MICHAEL PONTIOUS MD (PROFESSOR DIRECTOR)
- **Authorized official phone:** (580) 242-1300

## Contact information

- **Practice address:** 620 S MADISON ST, SUITE 304, ENID, OK 73701-7273
- **Practice address phone:** (580) 242-1300
- **Practice address fax:** (580) 237-7913
- **Mailing address:** 620 S MADISON ST, SUITE 304, ENID, OK 73701-7273
- **Mailing address phone:** (580) 242-1300
- **Mailing address fax:** (580) 237-7913

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 261QM2500X | OK | Yes |

## Other

- **Enumeration date:** 08/13/2006
- **Last updated:** 10/16/2009