Organization
COMANCHE COUNTY HEALTHCARE CORP
Active
Other names
Memorial Medical Group Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRENT SMITH (CFO)
(580) 355-8620
Entity
Organization
Contact information
Practice address
110 NW 31ST ST, 3RD FLOOR, LAWTON, OK 73505-6100
(580) 510-7042
(580) 510-7044
Mailing address
PO BOX 785, LAWTON, OK 73502-0785
(580) 357-9984
(580) 357-3277
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
14399
OK
Other
Enumeration date
08/31/2006
Last updated
05/08/2015
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