Individual
MICHAEL GARZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC/L
Contact information
Practice address
4400 E GORE BLVD, LAWTON, OK 73501-6245
(580) 355-5230
Mailing address
4400 E GORE BLVD, LAWTON, OK 73501-6245
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
119
OK
Other
Enumeration date
04/21/2015
Last updated
04/21/2015
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