OKLAHOMA STATE DEPARTMENT OF HEALTH

NPI # 

Practice Address:

1010 Sw Sheridan Rd

Lawton, OK, 73505-1531

Practice Phone:

580-248-5890

License Number:

R0099778

License State:

OK

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Public Health, State or Local

Taxonomy Code:

261QP0905X