Brad Alan Liston in Ponca City - Adult Medicine
Brad Alan Liston - NPI 1487817375
Brad Alan Liston is a Adult Medicine in Ponca City, Oklahoma. Brad Alan Liston practices all healthcare services and medical treatments related to Adult Medicine. The NPI Number for Brad Alan Liston is 1487817375. The last update date is 2020-09-16.
Brad Alan Liston's current location address is 1908 N 14th St Ste 204, Ponca City, Oklahoma. You can contact this provider via phone number 5807635900. The mailing address for Brad Alan Liston is 1908 N 14th St Ste 204, Ponca City, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brad Alan Liston |
|---|---|
| Address | 1908 N 14th St Ste 204, Ponca City, Oklahoma |
| Phone Number | 5807635900 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1487817375 |
|---|---|
| Provider Enumeration Date | 2008-07-09 |
| Last Updated Date | 2020-09-16 |
Provider Mailing Address Detail
| Address | 1908 N 14th St Ste 204 |
|---|---|
| City | Ponca City |
| State | Oklahoma (OK) |
| Post Code | 746012039 |
| Phone Number | 5807635900 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Adult Medicine |
|---|---|
| Taxonomy | 207Qa0505X |
| Licence No | 4659 |
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Definition: The NUCC recommends this code not be used. Choose a more appropriate code. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Brad Alan Liston by the Centers for Medicare & Medicaid Services?
The Brad Alan Liston has been assigned the NPI (National Provider Identifier) 1487817375 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Brad Alan Liston is physically located?
The Brad Alan Liston is situated at the following address: 1908 N 14Th St Ste 204, Ponca City, OK 746012039.
What is the Brad Alan Liston's area of specialization and corresponding taxonomy classification?
The Brad Alan Liston's specialty field is Adult Medicine, and it falls under the taxonomy code 207Qa0505X, which categorizes healthcare providers based on their specialties.
When did the Brad Alan Liston receive its 1487817375?
The Brad Alan Liston was issued its 1487817375 on 2008-07-09, which is the date when the organization was assigned this unique identifier.
As of what date were the Brad Alan Liston's details last updated?
The information pertaining to the Brad Alan Liston, including its address, specialty, and other details, was most recently updated on 2020-09-16.
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