Organization
COMANCHE COUNTY HEALTHCARE CORP
Active
Parent organization
COMANCHE COUNTY HEALTHCARE CORP
Other names
MEMORIAL MEDICAL GROUP FAMILY PRACTICE
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMANCHE COUNTY HEALTHCARE CORP
Authorized official
DAVID BLACKMON (CFO)
(580) 355-8620
Entity
Organization
Contact information
Practice address
3201 W GORE BLVD, STE 300, LAWTON, OK 73505-6378
(580) 585-5549
(580) 354-5911
Mailing address
PO BOX 785, LAWTON, OK 73502-0785
(580) 357-9984
(580) 357-3277
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/26/2012
Last updated
03/26/2012
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