Individual
MICHAEL SPEAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
307 SW 79TH ST, LAWTON, OK 73505-6438
(503) 754-7372
Mailing address
307 SW 79TH STREET, LAWTON, OK 73505
(503) 754-7372
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
104823
OK
Other
Enumeration date
04/26/2013
Last updated
04/26/2013
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