Organization
COMANCHE COUNTY HEALTHCARE CORP
Active
Other names
MMG Infectious Diseases
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 103, LAWTON, OK 73505-6350
(580) 250-6555
Mailing address
3401 W GORE BLVD, LAWTON, OK 73505-6332
(805) 355-8620
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Enumeration date
06/22/2020
Last updated
06/22/2020
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