Wendy S Bartanen MD, PC
Family Medicine in Lawton, OK. Organization (NPI-2).
NPI number1114126331
StatusActive
Last updated in NPPESJul 17, 2007
Details
- NPI
- 1114126331
- Entity type
- Organization (NPI-2)
- Legal business name
- Wendy S Bartanen MD, PC
- Organization subpart
- No
- Enumeration date
- Jul 17, 2007
- Last updated
- Jul 17, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 20119 | OK | Yes |
Other names
- Eastside Clinic (Doing Business As)
Practice location
1102 Se 36th StLawton, OK 73501-8462
Phone 580-351-2278 · Fax 580-353-0462
Mailing address
1102 Se 36th StLawton, OK 73501-8462
Phone 580-351-2278 · Fax 580-353-0462
Authorized official
Wendy S Bartanen
President
5803512278
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