OrganizationActive
Northern Oklahoma Regional Pediatric Clinic, PLLC
NPI 1053486431 · Pediatric Adolescent Medicine Physician · Ponca City, OK
Provider details
- NPI number
- 1053486431
- Entity type
- Organization
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Chris Pollak, Administrator(580) 765-5569
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
415 Fairview Ave
Ste. 100
Ponca City, OK 74601-1923
Phone: (580) 765-5569
Fax: (580) 765-2020
Approximate (ZIP-level) locationGet directions
Mailing address
415 Fairview Ave
Ponca City, OK 74601-1923
Registry dates
- Enumerated
- 2006-11-21
- Last updated
- 2017-05-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.