NPI 1619914421

Morteza Montazeri, MD

Practitioner Specialist Lawton, OK

Practice location

Address: 910 SW 38th St, Lawton, OK 73505-7013
Phone: (580) 357-6700
Fax: (580) 357-9912

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 13452 (OK)

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Registry record

NPI: 1619914421
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Jun 2006
Record last updated: 7 Nov 2008

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.