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Organization

COMANCHE COUNTY HEALTHCARE CORP

Active
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Organization

COMANCHE COUNTY HEALTHCARE CORP

Active
Parent organization
COMANCHE COUNTY HEALTHCARE CORP
Other names
MEMORIAL MEDICAL GROUP FAMILY PRACTICE
Organization subpart
Yes

Provider details

NPI number
Legal business name
COMANCHE COUNTY HEALTHCARE CORP
Authorized official
DAVID BLACKMON (CFO)
(580) 355-8620
Entity
Organization

Contact information

Practice address
3201 W GORE BLVD, STE 300, LAWTON, OK 73505-6378
(580) 585-5549
(580) 354-5911
Mailing address
PO BOX 785, LAWTON, OK 73502-0785
(580) 357-9984
(580) 357-3277

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—

Other

Enumeration date
03/26/2012
Last updated
03/26/2012
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