Organization
COMANCHE COUNTY HEALTHCARE
Active
Other names
FREDERICK MEDICAL CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRENT SMITH (CFO)
(580) 357-9984
Entity
Organization
Contact information
Practice address
319 E JOSEPHINE, FREDERICK, OK 73542
(580) 335-7545
(580) 335-7619
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
19114
OK
Other
Enumeration date
07/16/2006
Last updated
05/08/2015
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