Individual
RICHARD T BRITTINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3201 W GORE BLVD, SUITE 304, LAWTON, OK 73505
(580) 353-6760
(580) 248-3760
Mailing address
PO BOX 785, LAWTON, OK 73502
(580) 357-9984
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
17722
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100031940A
—
OK
01
—
110152906
RAILROAD MEDICARE
OK
01
—
125308600
DOL
—
01
—
5692307
AETNA
OK
Enumeration date
09/16/2005
Last updated
10/31/2013
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