Organization
WONDER KIDS SPECIALTY PEDIATRICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA WHITE DO (OWNER)
(580) 713-2947
Entity
Organization
Contact information
Practice address
5606 SW LEE BLVD STE 201, LAWTON, OK 73505-9651
(580) 368-0808
Mailing address
4202 SW LEE BLVD, BUILDING B, SUITE 100, LAWTON, OK 73505-8343
(580) 368-0808
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
02/04/2020
Last updated
03/11/2020
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