Edwin Fair Cmhc

NPI 1043471816 - Case Management - 251B00000X

NPI Details
NPI 1043471816
Enumeration Date 06/24/2008
Last Updated 06/24/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name GEOFFREY HOMER GEOFFREY
Position EXECUTIVE DIRECTOR
Phone (580) 762-7561
Fax (580) 762-2576
Practice Location
1500 N 6TH ST
PONCA CITY OK, 74601-2827, US
Phone (580) 762-7561
Fax (580) 762-2576
Business Location
1500 N 6TH ST
PONCA CITY OK, 74601-2827, US
Phone (580) 762-7561
Fax (580) 762-2576
Toxanomy
Taxonomy Code 251B00000X
License State
License Number
Remove 1043471816 NPI Number
 

According to our database, Edwin Fair Cmhc NPI is 1043471816, taxonomy code is 251B00000X Edwin Fair Cmhc physically located at 1500 N 6th St, Ponca City OK, 74601-2827. NPI Number 1033115704 has the healthcare provider type.

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1043471816 NPI number is provided on an as is basis without warranty of any kind. 1043471816 is maintained by the National Plan & Provider Enumeration System. The contents of Edwin Fair Cmhc are for informational purposes only.