Organization
OKLAHOMA NEUROSCIENCE AND ADDICTIONOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES EUGENE HALL PH.D. (PHYSICIAN)
(580) 762-4103
Entity
Organization
Contact information
Practice address
900 E HARTFORD AVE STE A, PONCA CITY, OK 74601-2011
(580) 762-4103
(580) 762-4103
Mailing address
900 E HARTFORD AVE STE A, PONCA CITY, OK 74601-2011
(580) 762-4103
(580) 762-4103
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
2141
OK
Other
Enumeration date
04/11/2007
Last updated
08/22/2020
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