| Daryl E. Birdwell, M.d., Inc. | |
|
4417 W Gore Blvd Ste 2 Lawton OK 73505-5978 | |
| (580) 248-7417 | |
| (580) 248-4847 |
| Full Name | Daryl E. Birdwell, M.d., Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 4417 W Gore Blvd Ste 2, Lawton, Oklahoma |
| Authorized Official Name and Position | Dianna Simmons (OFFICE MANAGER) |
| Authorized Official Contact | 5802487417 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Daryl E. Birdwell, M.d., Inc. 4417 W Gore Blvd Ste 2 Lawton OK 73505-5978 Ph: (580) 248-7417 | Daryl E. Birdwell, M.d., Inc. 4417 W Gore Blvd Ste 2 Lawton OK 73505-5978 Ph: (580) 248-7417 |
| NPI Number | 1972631067 |
|---|---|
| Provider Enumeration Date | 03/01/2007 |
| Last Update Date | 09/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972631067 | NPI | - | NPPES |
| 10548OK | Other | OK | STATE LIC. |
| 100094050A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 10548OK (Oklahoma) | Primary |
Mark W Cotton Do Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5610 Sw Lee Blvd, Lawton, OK 73505 Phone: 580-536-6600 Fax: 580-536-2427 | |
Legacy Wellness Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 927 Sw D Ave, Lawton, OK 73501 Phone: 405-936-0504 Fax: 405-936-0561 | |
Comanche County Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4411 W Gore Blvd, Suite A2, Lawton, OK 73505 Phone: 580-355-0575 Fax: 580-248-1725 | |
Comanche County Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3201 W Gore Blvd, Suite 105, Lawton, OK 73505 Phone: 580-510-7077 Fax: 580-510-7057 | |
R. Brent Smith, M.d., Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4411 W Gore Blvd, Ste. B-5, Lawton, OK 73505 Phone: 580-357-0493 | |
Sooner Inpatient Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3401 W Gore Blvd, Lawton, OK 73505 Phone: 954-838-2371 | |
Garrison Exemplar Company Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3414 Nw Cache Rd Ste F, Lawton, OK 73505 Phone: 580-265-8871 Fax: 580-265-8849 |