Organization
NORTH CENTRAL PALLIATIVE CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL JORDAN (ATTORNEY)
(405) 234-3220
Entity
Organization
Contact information
Practice address
445 FAIRVIEW AVE, PONCA CITY, OK 74601-1931
(580) 762-9102
(580) 762-1911
Mailing address
445 FAIRVIEW AVE, PONCA CITY, OK 74601-1931
(580) 762-9102
(580) 762-9111
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
01/10/2018
Last updated
01/10/2018
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