Souter Family Medicine

LBN: Souter Family Medicine
Souter Family Medicine is an health care organization with primary practice located at 1908 N 14Th St Ste. 204, Ponca City OK 74601-2014. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Souter Family Medicine can be contacted via phone (580) 762-7515, or through Souter, Michael Phillip via phone (580) 762-7515.

Contact Information

Primary practice address
1908 N 14Th St Ste. 204 Ponca City OK 74601-2014
Phone: (580) 762-7515
Fax: (580) 762-7373
Website:
Map and Directions
Authorized official contact:
Name: Souter, Michael Phillip Doctor of Osteopathy (DO)
Phone: (580) 762-7515

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 3906 Oklahoma

Profile Details

NPI number 1669634168
LBN Legal business name Souter Family Medicine
DBA Doing business as Souter Family Medicine
Authorized official Souter, Michael Phillip Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 26th, 2008
Last updated Jun 26th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669634168 NPPES
Oklahoma MEDICAID 100034000C

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