Organization
COMANCHE COUNTY HEALTHCARE CORPORATION
Active
Other names
MMG Neurosurgery
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 300, LAWTON, OK 73505-6350
(580) 248-5255
(580) 248-2036
Mailing address
PO BOX 785, LAWTON, OK 73502-0785
(580) 357-9984
(580) 357-3277
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
2084N0400X
Neurology Physician
—
—
Other
Enumeration date
10/06/2017
Last updated
10/06/2017
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