Organization
GREAT PLAINS SURGICAL CLINIC,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN N CARTER M.D. (VICE PRESIDENT)
(580) 536-7528
Entity
Organization
Contact information
Practice address
5404 SW LEE BLVD, LAWTON, OK 73505-9521
(580) 536-7528
(580) 536-3571
Mailing address
5404 SW LEE BLVD, LAWTON, OK 73505-9521
(580) 536-7528
(580) 536-3571
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
14399
OK
Other
Enumeration date
06/21/2006
Last updated
08/22/2020
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