MEDICARE: JOHN C LOOSE D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	3271	OK

General Provider Information

NPI Number	:	1073693917
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN C LOOSE D.O.

Provider Business Mailing Address
First Line	:	8 NW WENTWOOD HILL DR
Second Line	:
City	:	LAWTON
State	:	OK
Zip	:	73505-9501
Country	:	US
Telephone Number	:	580-704-2502
Fax Number	:

Provider Business Practice Location Address
First Line	:	3201 W GORE BLVD STE 305
Second Line	:	MEMORIAL MEDICAL GROUP
City	:	LAWTON
State	:	OK
Zip	:	73505-6350
Country	:	US
Telephone Number	:	580-510-7070
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/16/2006
Last Update Date	:	10/27/2016

Similar Medicare Providers

1790771095 — JOHNNY D DUNCAN DO
Practice Location Address:

3201 W GORE BLVD STE 201
LAWTON, OK
73505-6350

Practice Phone: 805-250-6659
Practice Fax: 580-250-5249

1770500753 — COMANCHE COUNTY HEALTHCARE CORPORATION
Practice Location Address:

3201 W GORE BLVD STE 300
LAWTON, OK
73505-6350

Practice Phone: 580-248-5255
Practice Fax: 580-248-2036

1427130947 — COMANCHE COUNTY HOSPITAL AUTHORITY
Practice Location Address:

3201 W GORE BLVD STE A
LAWTON, OK
73505-6350

Practice Phone: 580-585-5401
Practice Fax: 580-510-7033

1922182336 — DR. SAMEH W HANNA M.D.
Practice Location Address:

3201 W GORE BLVD STE 104
LAWTON, OK
73505-6350

Practice Phone: 580-250-6659
Practice Fax: 580-250-5249

1134287139 — RICHARD MCCORMACK D.PH.
Practice Location Address:

3201 W GORE BLVD STE A
LAWTON, OK
73505-6350

Practice Phone: 580-360-5087
Practice Fax: 580-360-5087

1306051479 — CHRISTOPHER E. NEUMANN M.D.
Practice Location Address:

3201 W GORE BLVD STE 300
LAWTON, OK
73505-6350

Practice Phone: 580-248-5255
Practice Fax: 580-248-2039

Directions to “ JOHN C LOOSE D.O.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.