Individual
CHARLES VALGORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2101 N 14TH ST, STE114, PONCA CITY, OK 74601-1807
(580) 762-1552
(580) 762-1596
Mailing address
2101 NORTH 14TH STREET, STE114, PONCA CITY, OK 74601
(580) 762-1552
(580) 762-1596
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1648
OK
Other
Enumeration date
09/13/2007
Last updated
09/13/2007
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