| Mark W. Cotton, D.o. | |
|
5610 Sw Lee Blvd Lawton OK 73505-9635 | |
| (580) 536-6600 | |
| (580) 536-2427 |
| Full Name | Mark W. Cotton, D.o. |
|---|---|
| Speciality | General Practice |
| Location | 5610 Sw Lee Blvd, Lawton, Oklahoma |
| Authorized Official Name and Position | Mark W Cotton (SUPERVISING PHYSICIAN) |
| Authorized Official Contact | 5805366600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark W. Cotton, D.o. 5610 Sw Lee Blvd Lawton OK 73505-9635 Ph: (580) 536-6600 | Mark W. Cotton, D.o. 5610 Sw Lee Blvd Lawton OK 73505-9635 Ph: (580) 536-6600 |
| NPI Number | 1306197595 |
|---|---|
| Provider Enumeration Date | 09/27/2012 |
| Last Update Date | 09/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306197595 | NPI | - | NPPES |
| 100101580B | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 3005 (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 | |
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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 | |
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