BLACKHAWK MANGUM, LLC

Family Medicine

Active Organization
NPI: 1093986937

Practice Address

ONE WICKERSHAM DR
Mangum, OK 73554

Phone: (580) 782-3353

Specialties

Specialty Code Primary License
Emergency Medicine 207P00000X No 2208 (OK)
Physician Assistant 363A00000X No 2208 (OK)
Nurse Practitioner - Family 363LF0000X No 2208 (OK)
Family Medicine 207Q00000X Yes 2208 (OK)

Frequently Asked Questions

NPI 1093986937 is the National Provider Identifier for BLACKHAWK MANGUM, LLC, a Family Medicine provider located in Mangum, OK. This NPI was enumerated on March 19, 2008.

Quick Facts

NPI
1093986937
Type
Organization
Enumerated
Mar 19, 2008
Last Updated
Jul 23, 2008

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