Organization
COMANCHE COUNTY HEALTHCARE
Active
Other names
MMG Neurosurgery
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRENT SMITH (CEO)
(580) 355-8620
Entity
Organization
Contact information
Practice address
110 NW 31ST ST, 2ND FLOOR, LAWTON, OK 73505
(580) 248-5255
(580) 248-2036
Mailing address
PO BOX 785, LAWTON, OK 73502
(580) 357-9984
(580) 357-3277
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
24442
OK
Other
Enumeration date
07/20/2006
Last updated
05/27/2016
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