Individual
DR. DANIEL GLENN CONSTANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5606 SW LEE BOULEVARD, SUITE 203, LAWTON, OK 73505
(580) 536-1111
Mailing address
5606 SW LEE BLVD, SUITE 203, LAWTON, OK 73505-0000
(580) 536-1111
(580) 536-2211
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
26711
OK
207R00000X
Internal Medicine Physician
4301082389
MI
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
26711
OK
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
4301082389
MI
207RS0010X
Sports Medicine (Internal Medicine) Physician
26711
OK
207RS0010X
Sports Medicine (Internal Medicine) Physician
4301082389
MI
Other
Enumeration date
05/08/2007
Last updated
08/26/2011
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