Organization
COMANCHE COUNTY HEALTHCARE
Active
Other names
MMG Orthopedic Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRENT SMITH (CFO)
(580) 355-8620
Entity
Organization
Contact information
Practice address
110 NW 31ST, 2ND FLOOR, LAWTON, OK 73505
(580) 357-3671
(580) 357-1256
Mailing address
PO BOX 785, LAWTON, OK 73502
(580) 357-9984
(580) 357-3277
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
10777
OK
Other
Enumeration date
07/27/2006
Last updated
05/08/2015
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