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Individual

DANIEL MAX GOATES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
110 NW 31ST ST, LAWTON, OK 73505-6100
(508) 510-7042
Mailing address
110 NW 31ST ST, LAWTON, OK 73505-6100
(508) 510-7042

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
6169
OK

Other

Enumeration date
03/14/2016
Last updated
11/14/2023
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