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Contact Information

SCOTT L MICHENER, MD
3201 W GORE BLVD
SUITE 201
LAWTON, OK73505
 Phone: 580-357-2261
 Fax: 580-357-2263
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for SCOTT L MICHENER · (Male)

NPI Number 1497743405
Status Active
Credentials MD
Entity Individual
Enumeration date 10/12/2005
Last updated 07/10/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • OK License # 19658
  • OK Medicaid 100137220A
  • OK Other 0915990004 MEDICARE PTAN
  • OK Other P00263322 RAILROAD MEDICARE
Hospital affiliation(s)
  • CARNEGIE TRI-COUNTY MUNICIPAL HOSPITAL - (Critical Access)
    102 NORTH BROADWAY
    CARNEGIE, OK 73015
  • COMANCHE COUNTY MEMORIAL HOSPITAL - (Acute Care)
    3401 WEST GORE BLVD
    LAWTON, OK 73505
  • JACKSON COUNTY MEMORIAL HOSPITAL - (Acute Care)
    1200 EAST PECAN ST
    ALTUS, OK 73523
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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