Individual
DR. SUNIL MENON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
415 FAIRVIEW AVE # 202, PONCA CITY, OK 74601-1929
(580) 718-4507
(580) 718-4584
Mailing address
415 FAIRVIEW AVE # 202, PONCA CITY, OK 74601-1929
(580) 718-4507
(580) 718-4584
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
0434797
KS
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
34598
OK
Other
Enumeration date
04/28/2008
Last updated
11/27/2023
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