Individual
JOHN W RONCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
305 S 5TH ST, WOUND CARE DEPT, ENID, OK 73701-5832
(580) 548-5010
(580) 548-5012
Mailing address
1125 E ROBERTSON RD, ENID, OK 73701-6829
(580) 233-9254
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
11520
OK
207Q00000X
Family Medicine Physician
Primary
11520
OK
Other
Enumeration date
07/17/2006
Last updated
07/23/2009
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