Organization
URGENT CARE AND FAMILY PRACTICE CENTER OF PONCA CITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAN RUSSELL HILL M.D. (OWNER)
(580) 762-9292
Entity
Organization
Contact information
Practice address
1715 N 5TH ST, PONCA CITY, OK 74601-2763
(580) 762-9292
(580) 762-1660
Mailing address
1715 N 5TH ST, PONCA CITY, OK 74601-2763
(580) 762-9292
(580) 762-1660
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19188
OK
Other
Enumeration date
07/03/2007
Last updated
11/15/2010
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