NPI 1205941762

Robert Miles Chisholm, MD

Practitioner Ph.D. Medical Genetics Lawton, OK

Practice location

Address: 605 W Gore Blvd Suite 6, Lawton, OK 73501-3727
Phone: (580) 353-1616
Fax: (580) 353-0052

Registered specialties

Ph.D. Medical Genetics Primary

Other Service Providers Taxonomy 170100000X Licence 22563 (OK)

Other Medical Genetics, Ph.D. Medical Genetics providers in Oklahoma →

Registry record

NPI: 1205941762
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Aug 2006
Record last updated: 10 Sep 2010

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.