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Individual

DR. MORTEZA MONTAZERI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
910 SW 38TH ST, LAWTON, OK 73505-7013
(580) 357-6700
(580) 357-9912
Mailing address
910 SW 38TH ST, LAWTON, OK 73505-7013
(580) 357-6700
(580) 357-9912

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
13452
OK

Other

Enumeration date
06/01/2006
Last updated
11/07/2008
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