Organization
UNIVERSITY OF OKLAHOMA HEALTH SCIEN CTR COL OF MED ENID FAM MED
Active
Other names
Enid Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES MICHAEL PONTIOUS MD (PROFESSOR DIRECTOR)
(580) 242-1300
Entity
Organization
Contact information
Practice address
620 S MADISON ST, SUITE 304, ENID, OK 73701-7273
(580) 242-1300
(580) 237-7913
Mailing address
620 S MADISON ST, SUITE 304, ENID, OK 73701-7273
(580) 242-1300
(580) 237-7913
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
261QM2500X
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164478590
DR. MARGO SHORT NPI #
OK
01
—
1457398141
DR. PONTIOUS NPI #
OK
Enumeration date
08/13/2006
Last updated
10/16/2009
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