Organization
COMANCHE COUNTY HEALTHCARE CORPORATION
Active
Other names
SOUTHWEST OKLAHOMA SURGICAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID BLACKMON (CFO)
(580) 357-9984
Entity
Organization
Contact information
Practice address
110 NW 31ST ST, 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
208600000X
Surgery Physician
Primary
22527
OK
Other
Enumeration date
07/18/2006
Last updated
08/22/2020
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