Individual
DR. GREGORY KEITH MORTON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
412 SW SUMMIT AVE, LAWTON, OK 73501-5252
(580) 355-9101
(580) 355-9097
Mailing address
412 SW SUMMIT AVE, LAWTON, OK 73501-5252
(580) 355-9101
(580) 355-9097
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14117
OK
207VG0400X
Gynecology Physician
14117
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100008360C
—
OK
Enumeration date
11/30/2005
Last updated
09/29/2011
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