NPI 1619524048

Healthstat Onsite Clinic Goodyear Lawton

Organisation Preventive Medicine/Occupational Environmental Medicine Physician Lawton, OK

Practice location

Address: 1 SW Goodyear Blvd, Lawton, OK 73505-9723
Phone: (704) 936-5546
Mailing address: 4651 Charlotte Park Dr STE 300, Charlotte, NC 28217-1916

Authorised official

Name: Jill Johnson Patton
Title: Director of Risk Management
Phone: (704) 936-5546

Registered specialties

Preventive Medicine/Occupational Environmental Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2083P0500X

Other Preventive Medicine providers in Oklahoma →

Registry record

NPI: 1619524048
Entity type: Organization
NPI issued: 21 Aug 2019
Record last updated: 21 Aug 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.