| Mark W Cotton Do Pc | |
|
5610 Sw Lee Blvd Lawton OK 73505-9635 | |
| (580) 536-6600 | |
| (580) 536-2427 |
| Full Name | Mark W Cotton Do Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 5610 Sw Lee Blvd, Lawton, Oklahoma |
| Authorized Official Name and Position | Sherry D Mckay (ADMINISTRATOR) |
| Authorized Official Contact | 5805366600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark W Cotton Do Pc 5610 Sw Lee Blvd Lawton OK 73505-9635 Ph: (580) 536-6600 | Mark W Cotton Do Pc 5610 Sw Lee Blvd Lawton OK 73505-9635 Ph: (580) 536-6600 |
| NPI Number | 1003186545 |
|---|---|
| Provider Enumeration Date | 12/30/2011 |
| Last Update Date | 12/30/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003186545 | NPI | - | NPPES |
| 100101580B | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 3005 (Oklahoma) | Primary |
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