Organization
MORTEZA MONTAZERI,M.D.INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MORTEZA N MONTAZERI M.D. (PHYSICIAN)
(580) 357-6700
Entity
Organization
Contact information
Practice address
910 SW 38TH ST, SUITE#A, LAWTON, OK 73505-7013
(580) 357-6700
(580) 357-9912
Mailing address
910 SW 38TH ST, SUITE#A, LAWTON, OK 73505-7013
(580) 357-6700
(580) 357-9912
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
13452
OK
Other
Enumeration date
08/14/2008
Last updated
11/07/2008
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