Organization
AMC URGENT CARE PLUS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERI SELF (OPERATIONS MANAGER)
(580) 762-2366
Entity
Organization
Contact information
Practice address
2101 N 14TH ST, STE 114, PONCA CITY, OK 74601-1807
(580) 762-1552
Mailing address
2101 N 14TH ST, STE 114, PONCA CITY, OK 74601-1807
(580) 762-1552
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
08/09/2006
Last updated
04/08/2020
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