Individual
DR. SAM MARCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
901 SW GOODYEAR BLVD, LAWTON, OK 73505-9755
(580) 510-6384
Mailing address
7008 SW ANGELWOOD DR, LAWTON, OK 73505-9641
(817) 733-4304
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301086069
MI
Other
Enumeration date
10/12/2006
Last updated
08/20/2012
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