Organization
COMANCHE COUNTY HEALTHCARE
Active
Other names
REX E STOCKARD MD INTERNAL MEDICINE
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID BLACKMON (CFO)
(580) 355-8620
Entity
Organization
Contact information
Practice address
4417 W GORE BLVD, SUITE 13, LAWTON, OK 73505
(580) 248-0465
(580) 357-6590
Mailing address
PO BOX 785, LAWTON, OK 73502
(580) 357-9984
(580) 357-3277
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
8454
OK
Other
Enumeration date
07/25/2006
Last updated
01/30/2008
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