# COMANCHE COUNTY HEALTHCARE CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Occupational Medicine, MMG Occupational Medicine - CCMH
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629604376
- **Authorized official:** BRENT SMITH (CEO)
- **Authorized official phone:** (580) 585-5522

## Contact information

- **Practice address:** 3201 W GORE BLVD STE G1, LAWTON, OK 73505-6308
- **Practice address phone:** (580) 355-9675
- **Mailing address:** 3401 W GORE BLVD, LAWTON, OK 73505-6332
- **Mailing address phone:** (580) 585-5443

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/13/2020
- **Last updated:** 06/22/2020