Organization
COMANCHE COUNTY HEALTHCARE CORP
Active
Organization
COMANCHE COUNTY HEALTHCARE CORP
Active
Other names
Memorial Medical Group Internal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID BLACKMON (CFO)
(580) 355-8620
Entity
Organization
Contact information
Practice address
3201 W GORE BLVD, SUITE 202, LAWTON, OK 73505-6378
(580) 355-6731
(580) 250-5806
Mailing address
PO BOX 785, LAWTON, OK 73502-0785
(580) 357-9984
(580) 357-3277
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
11/19/2012
Last updated
11/19/2012
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