Degazon, Alexander F

Degazon, Alexander F is an individual health care provider with primary practice located at 5602 Sw Lee Blvd Southwest Medical Center, Lawton OK 73505-9635. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Degazon, Alexander F can be contacted via phone (580) 531-4700.

Contact Information

Primary practice address
5602 Sw Lee Blvd Southwest Medical Center Lawton OK 73505-9635
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 30474 Oklahoma
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME86566 Florida

Profile Details

NPI number 1588655625
LBN Legal business name Degazon, Alexander F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2005
Last updated May 10th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588655625 NPPES
Florida MEDICAID 267145000

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