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Blackhawk Mangum, Llc
Primary Care Clinic/Center in Hollis, Oklahoma
NPI 1366611824

Blackhawk Mangum, Llc is a Primary Care Clinic/Center based in Mangum, OK and is specialized in Primary Care. Blackhawk Mangum, Llc practices in Hollis, OK. The NPI Number for Blackhawk Mangum, Llc is 1366611824 and holds a License No. 2208 (Oklahoma).

The current practice location address for Blackhawk Mangum, Llc is 513 East Chestnut, Hollis, OK and can be reached out via phone at 580-688-3314 and via fax at 580-688-9530.

Location: 513 East Chestnut, Hollis, OK, 73554-0280
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1366611824
Provider Name
Blackhawk Mangum, Llc
Credential
Provider Entity Type
Organization
Address
513 East Chestnut, Hollis, OK, 73554-0280
Phone Number
580-688-3314
Fax Number
580-688-9530
Provider Enumeration Date
02/28/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
513 East Chestnut
City
Hollis
State
Oklahoma
Zip
73550
Phone Number
580-688-3314
Fax Number
580-688-9530
person
Provider Business Mailing Address Details
Address
513 East Chestnut
City
Hollis
State
Oklahoma
Zip
73550
Phone Number
580-688-3314
Fax Number
580-688-9530
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
2208 (Oklahoma)
Definition
Definition to come...
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