Individual
ALAN E AYCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5402 SW LEE BLVD, LAWTON, OK 73505-9521
(580) 531-0022
(580) 531-0026
Mailing address
5402 SW LEE BLVD., LAWTON, OK 73505-1256
(580) 531-0022
(580) 531-0026
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
9481
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100099530A
—
OK
Enumeration date
06/01/2005
Last updated
08/04/2011
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