Organization
COMANCHE COUNTY HEALTHCARE CORPORATION
Active
Other names
Memorial Medical Group Rheumatology
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT SMITH (CEO)
(580) 585-5522
Entity
Organization
Contact information
Practice address
3201 W GORE BLVD STE 104, LAWTON, OK 73505-6350
(580) 250-6659
Mailing address
3401 W GORE BLVD, LAWTON, OK 73505-6332
(580) 585-5443
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
—
—
Other
Enumeration date
09/28/2021
Last updated
09/28/2021
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