Organization
COMANCHE COUNTY HEALTHCARE CORPORATION
Active
Other names
Occupational Medicine, MMG Occupational Medicine - CCMH
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 G1, LAWTON, OK 73505-6308
(580) 355-9675
Mailing address
3401 W GORE BLVD, LAWTON, OK 73505-6332
(580) 585-5443
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/13/2020
Last updated
06/22/2020
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