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Blackhawk Mangum, Llc
Radiology Clinic/Center in Mangum, Oklahoma
NPI 1093247082

Blackhawk Mangum, Llc is a Radiology Clinic/Center based in Altus, OK and is specialized in Radiology. Blackhawk Mangum, Llc practices in Mangum, OK. The NPI Number for Blackhawk Mangum, Llc is 1093247082 and holds a License No. 2208 (Oklahoma).

The current practice location address for Blackhawk Mangum, Llc is 1 Wickersham St, Mangum, OK and can be reached out via phone at 580-782-3353 and via fax at 580-782-5944.

Location: 1 Wickersham St, Mangum, OK, 73521-1348
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1093247082
Provider Name
Blackhawk Mangum, Llc
Credential
Provider Entity Type
Organization
Address
1 Wickersham St, Mangum, OK, 73521-1348
Phone Number
580-782-3353
Fax Number
580-782-5944
Provider Enumeration Date
03/30/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1 Wickersham St
City
Mangum
State
Oklahoma
Zip
73554-9117
Phone Number
580-782-3353
Fax Number
580-782-5944
person
Provider Business Mailing Address Details
Address
1 Wickersham St
City
Mangum
State
Oklahoma
Zip
73554-9117
Phone Number
580-782-3353
Fax Number
580-782-5944
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Radiology
Taxonomy
261QR0200X
License No.
2208 (Oklahoma)
Definition
Definition to come...
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