John C Loose, D.O.

NPI #1073693917 in Lawton, Oklahoma

Provider Information

NPI Number: 1073693917
Entity Type: Individual
Name: John C Loose, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: D.O.
Enumeration Date: Oct 16, 2006
Last Updated: Oct 27, 2016

Practice Location

Address: 3201 W GORE BLVD STE 305
Address 2: MEMORIAL MEDICAL GROUP
City: Lawton
State: Oklahoma
ZIP Code: 73505-6350
Phone: (580) 510-7070

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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