Individual
MICHAEL RAMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3811 W GORE BLVD, SUITE 1, LAWTON, OK 73505
(580) 585-5550
(580) 585-5551
Mailing address
PO BOX 785, LAWTON, OK 73502
(580) 357-9984
(580) 357-3277
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16850
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5519282
AETNA
OK
Enumeration date
09/19/2005
Last updated
01/30/2008
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