Great Plains Pediatrics, Inc in Lawton - Specialist
Great Plains Pediatrics, Inc - NPI 1063631562
Great Plains Pediatrics, Inc is a Specialist in Lawton, Oklahoma. Great Plains Pediatrics, Inc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Great Plains Pediatrics, Inc is 1063631562. The last update date is 2007-09-27.
Great Plains Pediatrics, Inc's current location address is 3201 W Gore Blvd, Lawton, Oklahoma. You can contact this provider via phone number 5803538942 and fax number 5803535008. The mailing address for Great Plains Pediatrics, Inc is 3201 W Gore Blvd, Lawton, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Great Plains Pediatrics, Inc |
|---|---|
| Address | 3201 W Gore Blvd, Lawton, Oklahoma |
| Phone Number | 5803538942 |
| Fax Number | 5803535008 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Legako A Edward |
| Credentials | MD |
| Telephone Number | 5803538942 |
NPI Number Detail
| NPI Number | 1063631562 |
|---|---|
| Provider Enumeration Date | 2007-04-24 |
| Last Updated Date | 2007-09-27 |
Provider Mailing Address Detail
| Address | 3201 W Gore Blvd |
|---|---|
| City | Lawton |
| State | Oklahoma (OK) |
| Post Code | 735056378 |
| Phone Number | 5803538942 |
| Fax Number | 5803535008 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 12378 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Post Comment/ Review Below
What is the unique identifier code issued to Great Plains Pediatrics, Inc by the Centers for Medicare & Medicaid Services?
The Great Plains Pediatrics, Inc has been assigned the NPI (National Provider Identifier) 1063631562. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Great Plains Pediatrics, Inc's facilities are geographically located?
The facilities of Great Plains Pediatrics, Inc are physically situated at the following location: 3201 W Gore Blvd, Lawton, OK, 735056378.
What is Great Plains Pediatrics, Inc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Great Plains Pediatrics, Inc is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.
On what date did the Great Plains Pediatrics, Inc receive its 1063631562 assignment from the Centers for Medicare & Medicaid Services?
The Great Plains Pediatrics, Inc was assigned its 1063631562 by the Centers for Medicare & Medicaid Services on 2007-04-24.
As of what date were the details pertaining to Great Plains Pediatrics, Inc last refreshed?
The information related to the Great Plains Pediatrics, Inc, including its address, specialty, and other relevant details, was last updated on 2007-09-27.