Organization
COMANCHE COUNTY HEALTHCARE
Active
Organization
COMANCHE COUNTY HEALTHCARE
Active
Other names
MEMORIAL MEDICAL GROUP MINOR EMERGENCY CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRENT SMITH (CFO)
(580) 355-8620
Entity
Organization
Contact information
Practice address
4411 W GORE BLVD, SUITE A2, LAWTON, OK 73505
(580) 355-0575
(580) 248-1725
Mailing address
PO BOX 785, LAWTON, OK 73502
(580) 357-9984
(580) 357-3277
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
18333
OK
Other
Enumeration date
07/15/2006
Last updated
05/08/2015
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