Organization
ABOLGHASEM REZAEI MD PC
Active
Other names
Family Medicine & Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABOLGHASEM MARCO REZAEI MD (OWNER)
(580) 699-5511
Entity
Organization
Contact information
Practice address
4121 W GORE BLVD, LAWTON, OK 73505-6336
(580) 699-5511
(580) 699-5519
Mailing address
4121 W GORE BLVD, LAWTON, OK 73505-6336
(580) 699-5511
(580) 995-5196
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23655
OK
Other
Enumeration date
10/05/2006
Last updated
03/27/2021
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