Individual
LARRY C ATWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1515 NE LAWRIE TATUM RD, LAWTON, OK 73507-3002
(580) 354-5000
(580) 354-5148
Mailing address
14 PALLADIO DR, GREENVILLE, SC 29617-7921
(973) 917-9678
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04 19202
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD452498
MEDICAL LICENSE
PA
Enumeration date
07/20/2005
Last updated
08/11/2014
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