Individual
JOHN C LOOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3201 W GORE BLVD STE 305, MEMORIAL MEDICAL GROUP, LAWTON, OK 73505-6350
(580) 510-7070
Mailing address
8 NW WENTWOOD HILL DR, LAWTON, OK 73505-9501
(580) 704-2502
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3271
OK
Other
Enumeration date
10/16/2006
Last updated
10/27/2016
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