Organization
PONCA SLEEP INTERPRETORS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHRIKRISHNA V VAIDYA MD (CO OWNER)
(580) 762-7734
Entity
Organization
Contact information
Practice address
400 FAIRVIEW, SUITE10, PONCA CITY, OK 74601
(580) 762-7734
(580) 762-6914
Mailing address
400 FAIRVIEW, SUITE10, PONCA CITY, OK 74601
(580) 762-7734
(580) 762-6914
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
16078
OK
174400000X
Specialist
21878
OK
Other
Enumeration date
10/26/2011
Last updated
02/28/2012
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