BLACKHAWK MANGUM LLC

Clinic/Center

Active Organization
NPI: 1679966709

Practice Address

3000 N MAIN ST
Altus, OK 73521

Phone: (580) 782-3353

Specialties

Specialty Code Primary License
Clinic/Center 261Q00000X Yes -

Frequently Asked Questions

NPI 1679966709 is the National Provider Identifier for BLACKHAWK MANGUM LLC, a Clinic/Center provider located in Altus, OK. This NPI was enumerated on March 13, 2015.

Quick Facts

NPI
1679966709
Type
Organization
Enumerated
Mar 13, 2015
Last Updated
Nov 17, 2015

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