Organization · Type 2 NPI
Blackhawk Mangum, LLC
Primary Care Clinic/Center · Sayre, OK
NPI number
1760890040
Active
Practice location
1601 Watts St
Sayre, OK 73662-1314
Mailing address
1 Wickersham St
Mangum, OK 73554-9117
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
2 other providers at this address
About NPI 1760890040
Blackhawk Mangum, LLC's National Provider Identifier is 1760890040, issued on Jul 30, 2014. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Sayre, OK. The record was last updated on Sep 8, 2014.