# MARK W. COTTON, D.O.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Family Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306197595
- **Authorized official:** MARK W COTTON D.O. (SUPERVISING PHYSICIAN)
- **Authorized official phone:** (580) 536-6600

## Contact information

- **Practice address:** 5610 SW LEE BLVD, LAWTON, OK 73505-9635
- **Practice address phone:** (580) 536-6600
- **Practice address fax:** (580) 536-2427
- **Mailing address:** 5610 SW LEE BLVD, LAWTON, OK 73505-9635
- **Mailing address phone:** (580) 536-6600
- **Mailing address fax:** (580) 536-2427

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 3005 | OK | Yes |

## Other

- **Enumeration date:** 09/27/2012
- **Last updated:** 09/27/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100101580B | — | OK |