| Birdwell-ferris Clinic | |
|
1930 Nw Ferris Ave Suite 1 Lawton OK 73507-5626 | |
| (580) 248-9966 | |
| (580) 248-6458 |
| Full Name | Birdwell-ferris Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 1930 Nw Ferris Ave, Lawton, Oklahoma |
| Authorized Official Name and Position | Brian G Birdwell (PRESIDENT) |
| Authorized Official Contact | 5802489966 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Birdwell-ferris Clinic 1930 Nw Ferris Ave Suite 1 Lawton OK 73507-5626 Ph: (580) 248-9966 | Birdwell-ferris Clinic 1930 Nw Ferris Ave Suite 1 Lawton OK 73507-5626 Ph: (580) 248-9966 |
| NPI Number | 1174684765 |
|---|---|
| Provider Enumeration Date | 12/13/2006 |
| Last Update Date | 08/24/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174684765 | NPI | - | NPPES |
| 100824240A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 13900 (Oklahoma) | Primary |
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