Organization
EARCARE OF PONCA CITY, INC.
Active
Organization
EARCARE OF PONCA CITY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIM BRECHEISEN (OWNER)
(580) 718-9991
Entity
Organization
Contact information
Practice address
2010 NORTH 14TH, PONCA CITY, OK 74601
(580) 718-9991
(580) 718-9993
Mailing address
2010 N 14TH, PONCA CITY, OK 74601
(580) 718-9991
(580) 718-9993
Taxonomy
Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
CE569
KS
Other
Enumeration date
11/24/2006
Last updated
08/22/2020
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