Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Premier Physical Medicine LLC

Organization Family Medicine Physician · NPI 1710229836

Premier Physical Medicine LLC is a Family Medicine Physician in Ponca City, Oklahoma. Licensed in Kansas. Registered with an NPI since 2013.

Licensed in
KS
In the registry since
2013
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3011 N Union St
Ponca City, OK 74601-7400
Phone: (316) 683-9500
Fax: (316) 683-9502
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X (KS)

Record details

NPI number1710229836
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tanner Hancock — Owner · (316) 683-9500
NPI enumeratedMarch 27, 2013
Last updated in NPPESMarch 27, 2013
Mailing address6224 Shadybrook St, Wichita, KS 67208-1844

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