Oklahoma Emergency Services PC
Emergency Medicine in Lawton, OK. Organization (NPI-2).
NPI number1114239795
StatusActive
Last updated in NPPESJan 10, 2020
Details
- NPI
- 1114239795
- Entity type
- Organization (NPI-2)
- Legal business name
- Oklahoma Emergency Services PC
- Organization subpart
- No
- Enumeration date
- Jul 12, 2010
- Certification date
- Jan 10, 2020
- Last updated
- Jan 10, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | – | – | Yes |
| 363A00000X | Physician Assistant | – | – | |
| 363L00000X | Nurse Practitioner | – | – |
Practice location
3401 W Gore BlvdLawton, OK 73505-6332
Phone 925-924-1600 · Fax 925-924-0506
Mailing address
5000 Hopyard RdSuite 100
Pleasanton, CA 94588-3348
Phone 925-924-1600 · Fax 925-924-0506
Authorized official
Kristopher M. Smith
Cfo
9252516933
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Other Emergency Medicine Physician providers in Lawton, OK
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- Vanessa M. Clendenin, D.O.NPI 1902334329
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All 57 Emergency Medicine Physician providers in Lawton · All 3,248 providers in Lawton
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