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Organization
COMANCHE COUNTY HEALTHCARE CORPORATION
Active
Organization
COMANCHE COUNTY HEALTHCARE CORPORATION
Active
Other names
MMG Allergy and Asthma
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT SMITH (CEO)
(580) 585-5522
Entity
Organization
Contact information
Practice address
3201 W GORE BLVD STE 101, LAWTON, OK 73505-6350
(580) 357-9090
(580) 357-8987
Mailing address
3401 W GORE BLVD, LAWTON, OK 73505-6332
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
NULL
207K00000X
Allergy & Immunology Physician
Primary
—
—
Other
Enumeration date
07/08/2022
Last updated
08/08/2023
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