Organization
SOUTHWESTERN PHYSICIAN SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVIS W TURNER (VICE PRESIDENT)
(615) 844-9800
Entity
Organization
Contact information
Practice address
5602 SW LEE BLVD, LAWTON, OK 73505-9635
(580) 531-6408
(580) 531-4981
Mailing address
5602 SW LEE BLVD, LAWTON, OK 73505-9635
(580) 531-6408
(580) 531-4981
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2231
OK
207Q00000X
Family Medicine Physician
2231
OK
2084P0800X
Psychiatry Physician
2231
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200006730A
—
OK
Enumeration date
06/24/2006
Last updated
06/30/2017
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