| Mmg Occupational Medicine - Ccmh | |
|
3201 W Gore Blvd Ste G1 Lawton OK 73505-6308 | |
| (580) 355-9675 | |
| Not Available |
| Full Name | Mmg Occupational Medicine - Ccmh |
|---|---|
| Speciality | Family Medicine |
| Location | 3201 W Gore Blvd Ste G1, Lawton, Oklahoma |
| Authorized Official Name and Position | Brent Smith (CEO) |
| Authorized Official Contact | 5805855522 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mmg Occupational Medicine - Ccmh 3401 W Gore Blvd Lawton OK 73505-6332 Ph: (580) 585-5443 | Mmg Occupational Medicine - Ccmh 3201 W Gore Blvd Ste G1 Lawton OK 73505-6308 Ph: (580) 355-9675 |
| NPI Number | 1629604376 |
|---|---|
| Provider Enumeration Date | 03/13/2020 |
| Last Update Date | 06/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629604376 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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