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Brad Liston, D.O
NPI 1487817375 · on the registry since 2008 · sole proprietor
Practice
- Address
- 1908 N 14th St Ste 204
Ponca City, OK 74601 - Phone
- (580) 763-5900
- Fax
- (580) 763-5901
- Organisation at this address
- Paul Guy Hagood
Bruce Baugher D.O., Pc
Souter Family Medicine
Jeff E Northcutt Md Pllc
Holmes Medical Services PlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 14
Registry record
- Primary taxonomy
- Adult Medicine Physician
207QA0505X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-09-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma