NPI: 1194572040 · PONCA CITY, OK 74601 · Family Medicine Physician · NPI assigned 04/30/2024
| Authorized Official | YORK, MONYA (CONTROLLER) |
| NPI Enumeration Date | 04/30/2024 |
Other providers sharing the same authorized official: YORK, MONYA
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 139 | $8K |