# DANIEL CONSTANCE, M.D. PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Southwest Oklahoma Sports & Internal Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275783623
- **Authorized official:** DR. DANIEL CONSTANCE MD (MEMBER)
- **Authorized official phone:** (580) 536-1111

## Contact information

- **Practice address:** 5606 SW LEE BLVD, SUITE 203, LAWTON, OK 73505
- **Practice address phone:** (580) 536-1111
- **Practice address fax:** (580) 536-2211
- **Mailing address:** 5606 SW LEE BLVD, SUITE 203, LAWTON, OK 73505
- **Mailing address phone:** (580) 536-1111
- **Mailing address fax:** (580) 536-2211

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 09/23/2008
- **Last updated:** 01/16/2009