NPI 1073693917

John C Loose, DO

Practitioner Family Medicine Physician Lawton, OK

Practice location

Address: 3201 W Gore Blvd STE 305 Memorial Medical Group, Lawton, OK 73505-6350
Phone: (580) 510-7070
Mailing address: 8 NW Wentwood Hill Dr, Lawton, OK 73505-9501

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 3271 (OK)

Other Family Medicine providers in Oklahoma →

Registry record

NPI: 1073693917
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Oct 2006
Record last updated: 27 Oct 2016

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.