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TINA C SMALL MD

Individual Provider (NPI-1) Active

Physical Medicine & Rehabilitation

Provider Information

NPI Number
1720074255
Provider Type
Individual Provider (NPI-1)
Credentials
MD
Status
Active

Contact & Location

Address
5109 W GORE BLVD, LAWTON, OK, 735055998
Phone
(580) 699-2495
Fax
(580) 699-2515

Specialties & Taxonomies

Physical Medicine & Rehabilitation Primary License: OK #24054

All Addresses

MAILING

4301 WILSON ST

FORT SILL, OK, 735034472

(580) 558-8497

LOCATION

5109 W GORE BLVD

LAWTON, OK, 735055998

(580) 699-2495