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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