Organization
NORTHERN OKLAHOMA REGIONAL PEDIATRIC CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRIS W POLLAK (ADMINISTRATOR)
(580) 765-5569
Entity
Organization
Contact information
Practice address
415 FAIRVIEW AVE, STE. 100, PONCA CITY, OK 74601-1923
(580) 765-5569
(580) 765-2020
Mailing address
415 FAIRVIEW AVE, STE. 100, PONCA CITY, OK 74601-1923
(580) 765-5569
(580) 765-2020
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100749170C
—
OK
Enumeration date
11/21/2006
Last updated
05/12/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us