CHARLES E MORTENSEN

LAWTON, OK
NPI1346233004
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: OK  21044)
Enumeration Date2005-08-29
Last Update Date2007-07-08
Business Address
-- CHARLES E MORTENSEN MD
3401 W GORE BLVD
LAWTON, OK 73505-6332
Phone number: 580-355-8620
Mailing Address
-- CHARLES E MORTENSEN MD
PO BOX 785
LAWTON, OK 73502-0785
Phone number: 580-355-8620
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