Organization
WACHITA KIDNEY AND HYPERTENSION SPECIALISTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAPHAEL LOUTOBY MD (CEO)
(580) 357-1002
Entity
Organization
Contact information
Practice address
4417 W GORE BLVD STE 3, LAWTON, OK 73505-5978
(580) 357-1002
Mailing address
PO BOX 7227, LAWTON, OK 73506-1227
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
25397
OK
Other
Enumeration date
05/01/2007
Last updated
08/22/2020
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