Organization
COMANCHE COUNTY HEALTHCARE
Active
Other names
Main Street Family Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID BLACKMON (CFO)
(580) 355-8620
Entity
Organization
Contact information
Practice address
3000 N MAIN ST, SUITE A, ALTUS, OK 73521
(580) 477-4522
(580) 477-4727
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
14363
OK
Other
Enumeration date
07/15/2006
Last updated
01/29/2008
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