Blackhawk Mangum, LLC
NPI #1093247082 in Mangum, Oklahoma
Provider Information
- NPI Number
- 1093247082
- Entity Type
- Organization
- Organization Name
- Blackhawk Mangum, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- BLACKHAWK MANGUM, LLC
- Primary Specialty
- Clinic/Center - Radiology
- Enumeration Date
- Mar 30, 2017
- Last Updated
- Mar 30, 2017
Practice Location
Authorized Official
- Name
- TOMMY JOHNSON
- Title
- CEO
- Phone
- (580) 782-3353
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Radiology — Radiology |
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