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Organization

TRIAD PEDIATRICS, LLC

Active
Other names
Triad Complete Healthcare A14, Triad Complete Healthcare Z14
Organization subpart
No

Provider details

NPI number
Authorized official
MATT BINTZ (CEO/OWNER)
(580) 765-3055
Entity
Organization

Contact information

Practice address
1001 HOSPITAL CIR, KINGFISHER, OK 73750-5002
(405) 375-7935
Mailing address
2703 N 14TH ST, PONCA CITY, OK 74601-1738
(580) 765-9451

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary

Other

Enumeration date
05/19/2022
Last updated
09/02/2025
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