Individual
CHRISTIAN MICHAEL PONDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1800 RENAISSANCE BLVD, EDMOND, OK 73013-3023
(405) 359-2400
Mailing address
16315 N MAY AVE, EDMOND, OK 73013-8892
(405) 521-0041
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
8414
OK
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
8414
OK
Other
Enumeration date
04/17/2018
Last updated
08/29/2024
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