Provider Demographics
NPI:1669481438
Name:DUUS, ERLAN C (MD)
Entity Type:Individual
Prefix:DR
First Name:ERLAN
Middle Name:C
Last Name:DUUS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5604 SW LEE BLVD
Mailing Address - Street 2:SUITE 310
Mailing Address - City:LAWTON
Mailing Address - State:OK
Mailing Address - Zip Code:73505-9681
Mailing Address - Country:US
Mailing Address - Phone:580-536-1800
Mailing Address - Fax:580-536-1224
Practice Address - Street 1:5604 SW LEE BLVD
Practice Address - Street 2:SUITE 310
Practice Address - City:LAWTON
Practice Address - State:OK
Practice Address - Zip Code:73505-9681
Practice Address - Country:US
Practice Address - Phone:580-536-1800
Practice Address - Fax:580-536-1224
Is Sole Proprietor?:No
Enumeration Date:2006-08-07
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OK16374208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKC63328Medicare UPIN