Individual
DR. JAN RUSSELL HILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1715 N 5TH ST, PONCA CITY, OK 74601-2763
(580) 762-9292
(580) 762-1660
Mailing address
1715 N 5TH ST, PONCA CITY, OK 74601-2763
(580) 762-9292
(580) 762-1660
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19188
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5350485
AETNA
OK
Enumeration date
03/09/2006
Last updated
11/15/2010
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