Individual
DR. WINONA R MACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
104 NW 31ST ST, LAWTON, OK 73505-6100
(580) 536-2121
Mailing address
104 NW 31ST ST, LAWTON, OK 73505-6100
(580) 536-2121
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
18667
OK
2085R0001X
Radiation Oncology Physician
19328
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200211660A
—
OK
Enumeration date
10/10/2006
Last updated
02/08/2012
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