Organization
COMANCHE COUNTY HEALTHCARE CORPORATION
Active
Other names
MMG Obstetrics & Gynecology
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT SMITH (CFO)
(580) 355-8620
Entity
Organization
Contact information
Practice address
102 NW 31ST ST, LAWTON, OK 73505
(580) 353-6790
(580) 510-7019
Mailing address
PO BOX 785, LAWTON, OK 73502
(580) 357-9984
(580) 357-3277
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
22213
OK
Other
Enumeration date
07/16/2006
Last updated
05/08/2015
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