Individual
ALEXANDER F DEGAZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5602 SW LEE BLVD, SOUTHWEST MEDICAL CENTER, LAWTON, OK 73505-9635
(580) 531-4700
Mailing address
608 NW MICKLEGATE BLVD, LAWTON, OK 73505-4164
(580) 531-2448
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
ME86566
FL
208M00000X
Hospitalist Physician
Primary
30474
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
267145000
—
FL
Enumeration date
10/28/2005
Last updated
05/10/2017
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