NPI 1053530568

Comanche County Healthcare

Organisation Internal Medicine Physician Lawton, OK

Practice location

Address: 3201 W Gore Blvd Suite 105, Lawton, OK 73505
Phone: (580) 510-7077
Fax: (580) 510-7057
Mailing address: PO Box 785, Lawton, OK 73502

Authorised official

Name: David Blackmon
Title: Cfo
Phone: (580) 355-8620

Registered specialties

Internal Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 25416 (OK)

Other Internal Medicine providers in Oklahoma →

Registry record

NPI: 1053530568
Entity type: Organization
NPI issued: 24 Apr 2007
Record last updated: 24 Jan 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.