person
Dr. Robert Miles Chisholm III, MD
Ph.D. Medical Genetics in Lawton, Oklahoma
NPI 1205941762

Robert Miles Chisholm III is a Ph.D. Medical Genetics based in Lawton, OK. Robert Miles Chisholm III practices in Lawton, OK and has the professional credentials of MD. The NPI Number for Robert Miles Chisholm III is 1205941762 and holds a License No. 22563 (Oklahoma).

The current practice location address for Robert Miles Chisholm III is 605 W Gore Blvd, Lawton, OK and can be reached out via phone at 580-353-1616 and via fax at 580-353-0052. You can also correspond with Robert Miles Chisholm III through the mailing address at 605 W GORE BLVD, LAWTON, OK - 73501-3727 (mailing address contact number: 580-353-1616).

Location: 605 W Gore Blvd, Lawton, OK, 73501-3727
person
Provider Profile Details
NPI Number
1205941762
Provider Name
Robert Miles Chisholm III
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
605 W Gore Blvd, Lawton, OK, 73501-3727
Phone Number
580-353-1616
Fax Number
580-353-0052
Provider Enumeration Date
08/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100108500B 05 OK
080185221 01 RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
605 W Gore Blvd
City
State
Zip
73501-3727
Phone Number
580-353-1616
Fax Number
580-353-0052
person
Provider Business Mailing Address Details
Address
605 W Gore Blvd
City
State
Zip
73501-3727
Phone Number
580-353-1616
Fax Number
580-353-0052
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Medical Genetics, Ph.D. Medical Genetics
Speciality
-
Taxonomy
License No.
22563 (Oklahoma)
Definition
A medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists.
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