Organization
COMANCHE COUNTY HEALTHCARE
Active
Other names
MEMORIAL MEDICAL GROUP CORDELL FAMILY MEDICAL CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT SMITH (CFO)
58203579984
Entity
Organization
Contact information
Practice address
1200 N GLENN ENGLISH, CORDELL, OK 73632
(580) 832-3838
(580) 832-5119
Mailing address
PO BOX 785, LAWTON, OK 73502
(580) 357-9984
(580) 357-3277
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14008
OK
Other
Enumeration date
07/18/2006
Last updated
05/08/2015
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