Individual
NATHAN SAMPLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1515 NE LAWRIE TATUM RD, LAWTON, OK 73507-3002
(580) 354-5404
Mailing address
1515 NE LAWRIE TATUM RD, LAWTON, OK 73507-3002
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
117440
OK
Other
Enumeration date
11/21/2022
Last updated
11/21/2022
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