Dr. Andrew Ellis Pontikes, MD
Anesthesiology in Oklahoma City, OK. Individual provider (NPI-1).
NPI number1891140802
StatusActive
Last updated in NPPESNov 5, 2020
Details
- NPI
- 1891140802
- Entity type
- Individual (NPI-1)
- Name
- Dr. Andrew Ellis Pontikes
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 27, 2016
- Certification date
- Nov 5, 2020
- Last updated
- Nov 5, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | 32339 | OK | Yes |
Practice location
920 Stanton L Young BlvdOklahoma City, OK 73104-5036
Phone 405-271-4351 · Fax 405-271-8695
Mailing address
Po Box 26901Oklahoma City, OK 73126-0901
Phone 405-271-4351 · Fax 405-271-8695
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