Great Plains Pediatrics, INC

NPI #1063631562 in Lawton, Oklahoma

Provider Information

NPI Number: 1063631562
Entity Type: Organization
Organization Name: Great Plains Pediatrics, INC
Primary Specialty: Specialist
Enumeration Date: Apr 24, 2007
Last Updated: Sep 27, 2007

Practice Location

Address: 3201 W GORE BLVD
Address 2: SUITE 100
City: Lawton
State: Oklahoma
ZIP Code: 73505-6378
Phone: (580) 353-8942

Authorized Official

Name: DR. EDWARD A LEGAKO, MD
Title: PRESIDENT
Phone: (580) 353-8942

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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