MORTEZA MONTAZERIM.D.INC NPI 1205082898

NPI Information

MORTEZA MONTAZERI,M.D.INC is a specialist in Lawton, OK. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MORTEZA MONTAZERI,M.D.INC NPI is 1205082898. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

910 SW 38TH ST
SUITE#A
LAWTON, OK
ZIP 73505-013
Phone: (580) 357-6700
Fax: (580) 357-9912

The provider's authorized official is Morteza N Montazeri .
The authorized official title is Physician and has the following contact phone number (580) 357-6700.

The enumeration date for this NPI number is 8/14/2008 and was last updated on 11/7/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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