Individual
EUGEN IVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3106 NW ARLINGTON AVE, LAWTON, OK 73505-6123
(580) 250-4278
(580) 581-1548
Mailing address
3106 NW ARLINGTON AVE, LAWTON, OK 73505-6123
(580) 250-4278
(580) 581-1548
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
6121228-1205
UT
Other
Enumeration date
05/12/2006
Last updated
08/18/2010
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