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Organization
COMANCHE COUNTY HOSPITAL AUTHORITY
Active
Organization
COMANCHE COUNTY HOSPITAL AUTHORITY
Active
Other names
MMG Pathology Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRENT SMITH (CEO)
(580) 355-8620
Entity
Organization
Contact information
Practice address
3401 W GORE BLVD, LAWTON, OK 73505-6332
(888) 638-7800
Mailing address
PO BOX 2309, SECTION 6, LAWTON, OK 73502-2309
(888) 638-7800
(817) 731-7774
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
NULL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
12/06/2012
Last updated
10/17/2016
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