Organization
MARK W. COTTON, D.O.
Active
Other names
Family Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MARK W COTTON D.O. (SUPERVISING PHYSICIAN)
(580) 536-6600
Entity
Organization
Contact information
Practice address
5610 SW LEE BLVD, LAWTON, OK 73505-9635
(580) 536-6600
(580) 536-2427
Mailing address
5610 SW LEE BLVD, LAWTON, OK 73505-9635
(580) 536-6600
(580) 536-2427
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
3005
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100101580B
—
OK
Enumeration date
09/27/2012
Last updated
09/27/2012
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