Blackhawk Mangum, LLC

NPI #1760890040 in Sayre, Oklahoma

Provider Information

NPI Number
1760890040
Entity Type
Organization
Organization Name
Blackhawk Mangum, LLC
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Jul 30, 2014
Last Updated
Sep 8, 2014

Practice Location

Address
1601 WATTS ST
City
Sayre
ZIP Code
73662-1314
Phone
(580) 928-9933

Authorized Official

Name
MRS. LINDSAY CRABB, CEO
Title
CEO
Phone
(580) 782-3353

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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