Individual
MARK W COTTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5610 SW LEE BLVD, LAWTON, OK 73505-9635
(580) 536-6600
(580) 536-2427
Mailing address
5610 SW LEE BLVD, LAWTON, OK 73505-9635
(580) 536-6600
(580) 536-2427
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3005
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100101580B
—
OK
Enumeration date
06/08/2005
Last updated
05/27/2014
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