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Organization
ROBERT MILES CHISHOLM III MD PLLC
Active
Organization
ROBERT MILES CHISHOLM III MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT MILES CHISHOLM III MD (PROVIDER)
(580) 353-1616
Entity
Organization
Contact information
Practice address
605 W GORE BLVD, SUITE 6, LAWTON, OK 73501-3727
(580) 353-1616
(580) 353-0052
Mailing address
605 WEST GORE BLVD., SUITE 6, LAWTON, OK 73501-3701
(580) 353-1616
(580) 353-0052
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22563
OK
Other
Enumeration date
08/21/2007
Last updated
09/10/2010
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