Individual
PAMELA J POLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
400 FAIRVIEW AVE, STE 18, PONCA CITY, OK 74601-1920
(580) 762-5696
(580) 762-7622
Mailing address
400 FAIRVIEW AVE, STE 18, PONCA CITY, OK 74601-1920
(580) 762-5696
(580) 762-7622
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
17919
OK
Other
Enumeration date
06/20/2005
Last updated
03/13/2013
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