Individual
DR. PAUL DAVID PONCY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
236 W MAPLE ST, CENTERVILLE, IA 52544-2222
(641) 856-5578
(641) 856-6022
Mailing address
236 W MAPLE ST, CENTERVILLE, IA 52544-2222
(641) 856-5578
(641) 856-6022
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01484
IA
Other
Enumeration date
10/13/2005
Last updated
11/19/2007
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