J C Trotter OD

NPI 1013008101 - Optometrist - 152W00000X

NPI Details
NPI 1013008101
Gender Male
Enumeration Date 09/27/2006
Last Updated 07/09/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
521 E HARTFORD AVE
PONCA CITY OK, 74601-2004, US
Phone (580) 765-3379
Fax (580) 765-6323
Business Location
521 E HARTFORD AVE
PONCA CITY OK, 74601-2004, US
Phone (580) 765-3379
Fax (580) 765-6323
Toxanomy
Taxonomy Code 152W00000X
License State Oklahoma
License Number 790
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According to our database, Dr. J C Trotter OD NPI is 1013008101, taxonomy code is 152W00000X and license number is 790, license state is located at Oklahoma. J C Trotter OD physically located at 521 E Hartford Ave, Ponca City OK, 74601-2004. NPI Number J C Trotter OD has the Individual type.

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1013008101 NPI number is provided on an as is basis without warranty of any kind. 1013008101 is maintained by the National Plan & Provider Enumeration System. The contents of J C Trotter OD are for informational purposes only.