Organization
COMANCHE COUNTY HEALTHCARE CORPORATION
Active
Other names
Goodyear Family Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID BLACKMON (CFO)
(580) 355-8620
Entity
Organization
Contact information
Practice address
901 SW GOODYEAR BLVD, LAWTON, OK 73505-9755
(580) 531-5878
(580) 531-5779
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
01/03/2014
Last updated
01/15/2014
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