US Army

NPI #1881788834 in Lawton, Oklahoma

Provider Information

NPI Number
1881788834
Entity Type
Organization
Organization Name
US Army
Primary Specialty
Military Health Care Provider
Enumeration Date
Oct 3, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
42 NE PHEASANT LN
City
Lawton
ZIP Code
73507-8850
Phone
(580) 529-2142

Authorized Official

Name
DR. WANDA CARMEN JIRAU-ROSALY, MD
Title
FAMILY PHYSICIAN
Phone
(580) 458-2411

Specialties & Taxonomy Codes

Specialty
Military Health Care Provider

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