Premise Health of Oklahoma Medical, PC
Premise Health of Oklahoma Medical, PC is a Family Medicine Physician in Lawton, Oklahoma. Registered with an NPI since 2006.
- In the registry since
- 2006
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
901 SW Goodyear BlvdLawton, OK 73505-9755
Phone: (580) 510-6361
Fax: (580) 531-5779
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X |
|---|
Record details
| NPI number | 1841360336 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jon Leizman — President · (216) 479-9063 |
| Other names | Goodyear Family Medical Center; Goodyear Family Medical Center |
| NPI enumerated | November 9, 2006 |
| Last updated in NPPES | October 13, 2022 |
| Certification date | October 13, 2022 |
| Mailing address | 5500 Maryland Way Ste 120, Brentwood, TN 37027-4993 |
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