Organization
COMANCHE COUNTY HEALTHCARE CORPORATION
Active
Other names
MMG Minor Emergency
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT SMITH (CHIEF FINANCIAL OFFICER)
(580) 355-8620
Entity
Organization
Contact information
Practice address
4411 W GORE BLVD, SUITE A2, LAWTON, OK 73505-6016
(580) 355-0575
(580) 248-1725
Mailing address
PO BOX 785, LAWTON, OK 73502-0785
(580) 357-9984
(580) 357-3277
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/29/2014
Last updated
08/29/2014
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