Blackhawk Mangum, LLC

NPI #1316326770 in Mangum, Oklahoma

Provider Information

NPI Number
1316326770
Entity Type
Organization
Organization Name
Blackhawk Mangum, LLC
Primary Specialty
Clinic/Center
Enumeration Date
May 19, 2015
Last Updated
May 19, 2015

Practice Location

Address
1 WICKERSHAM ST
City
Mangum
ZIP Code
73554-9117
Phone
(580) 782-3353

Authorized Official

Name
NATALIE YOUNG
Title
CEO
Phone
(580) 782-3353

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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