Blackhawk Mangum, LLC
NPI #1811351703 in Mangum, Oklahoma
Provider Information
- NPI Number
- 1811351703
- Entity Type
- Organization
- Organization Name
- Blackhawk Mangum, LLC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Apr 7, 2016
- Last Updated
- Apr 7, 2016
Practice Location
Authorized Official
- Name
- KEVIN OWENS
- Title
- OWNER
- Phone
- (580) 782-3353
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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