Organization
BRIAN BIRDWELL MD PC
Active
Other names
Birdwell-Ferris Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN G BIRDWELL M.D., (PRESIDENT)
(580) 248-9966
Entity
Organization
Contact information
Practice address
1930 NW FERRIS AVE, SUITE 1, LAWTON, OK 73507-5626
(580) 248-9966
(580) 248-6458
Mailing address
1930 NW FERRIS AVE, SUITE 1, LAWTON, OK 73507-5626
(580) 248-9966
(580) 248-6458
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
13900
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100824240A
—
OK
Enumeration date
12/13/2006
Last updated
08/24/2010
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