# SOUTHWESTERN MEDICAL ASSOCIATES, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104031996
- **Authorized official:** DR. VERNON MICHAEL LOVE M.D. (PHYSICIAN)
- **Authorized official phone:** (580) 353-5030

## Contact information

- **Practice address:** 1301 NW 40TH ST, SUITE A, LAWTON, OK 73505-3656
- **Practice address phone:** (580) 353-5030
- **Practice address fax:** (580) 353-5045
- **Mailing address:** 1301 NW 40TH ST, SUITE A, LAWTON, OK 73505-3656
- **Mailing address phone:** (580) 353-5030
- **Mailing address fax:** (580) 353-5045

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 24537 | OK | Yes |
| 207Q00000X | Family Medicine Physician | K8651 | TX | — |

## Other

- **Enumeration date:** 05/14/2007
- **Last updated:** 09/08/2008