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Organization
SOUTER FAMILY MEDICINE
Active
Organization
SOUTER FAMILY MEDICINE
Active
Other names
Souter Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL PHILLIP SOUTER D.O. (OWNER)
(580) 762-7515
Entity
Organization
Contact information
Practice address
1908 N 14TH ST, STE. 204, PONCA CITY, OK 74601-2014
(580) 762-7515
(580) 762-7373
Mailing address
1908 N 14TH ST, STE. 204, PONCA CITY, OK 74601-2014
(580) 762-7515
(580) 762-7373
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3906
OK
Other
Enumeration date
06/26/2008
Last updated
06/26/2008
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