-- CHARLES E MORTENSEN -- MD
Individual Provider (NPI-1)
Active
Anesthesiology
Provider Information
- NPI Number
1346233004- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 3401 W GORE BLVD, LAWTON, OK, 735056332
- Phone
- (580) 355-8620
- Fax
- (580) 357-3277
Specialties & Taxonomies
Anesthesiology
Primary License: OK #21044