Organization
COMANCHE COUNTY HEALTHCARE
Active
Other names
Comanche County Wound Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID BLACKMON (CFO)
(580) 355-8620
Entity
Organization
Contact information
Practice address
2716 W GORE BLVD, SUITE C, LAWTON, OK 73505
(580) 357-3280
(580) 357-7495
Mailing address
PO BOX 785, LAWTON, OK 73502
(580) 357-9984
(580) 357-3277
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
22527
OK
Other
Enumeration date
07/16/2006
Last updated
09/24/2013
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