Med Southwest, Pllc

NPI #1174089478 in Broken Bow, Oklahoma

Provider Information

NPI Number: 1174089478
Entity Type: Organization
Organization Name: Med Southwest, Pllc
Primary Specialty: Optometrist
Enumeration Date: Feb 12, 2019
Last Updated: May 29, 2022

Practice Location

Address: 511 S PARK DR STE A
City: Broken Bow
State: Oklahoma
ZIP Code: 74728-5329
Phone: (580) 584-3434

Authorized Official

Name: SUE DOWNS
Title: SECRETARY
Phone: (703) 847-8899

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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DR. Mark R Lanka, O.D.	Optometrist	Broken Bow	AI Deep Dive
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