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Organization
COMANCHE COUNTY HEALTHCARE
Active
Organization
COMANCHE COUNTY HEALTHCARE
Active
Other names
Main Street Family Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID BLACKMON (CFO)
(580) 355-8620
Entity
Organization
Contact information
Practice address
3000 N MAIN ST, SUITE A, ALTUS, OK 73521
(580) 477-4522
(580) 477-4727
Mailing address
PO BOX 785, LAWTON, OK 73502
(580) 357-9984
(580) 357-3277
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14363
OK
Other
Enumeration date
07/15/2006
Last updated
01/29/2008
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