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Organization
COMANCHE COUNTY HEALTHCARE CORP
Active
Organization
COMANCHE COUNTY HEALTHCARE CORP
Active
Other names
MMG Infectious Diseases
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 103, LAWTON, OK 73505-6350
(580) 250-6555
Mailing address
3401 W GORE BLVD, LAWTON, OK 73505-6332
(805) 355-8620
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
NULL
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Enumeration date
06/22/2020
Last updated
06/22/2020
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