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Individual

JOHN WINNINGHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
4301 WILSON ST, LAWTON, OK 73503-4472
(580) 284-5566
Mailing address
PO BOX 8549, FORT WORTH, TX 76124-0549
(817) 451-4208
(817) 496-5151

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6801
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0097MP
BCBS
TX
05
173122603
TX
Enumeration date
06/12/2006
Last updated
02/21/2025
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