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BLACKHAWK MANGUM, LLC

Family Medicine Physician

NPI: 1093986937Organization

Specialties, Licenses & Credentials

Emergency Medicine Physician

Emergency Medicine

Code: 207P00000X

2208(OK)
Physician Assistant

Physician Assistant

Code: 363A00000X

2208(OK)
Family Nurse Practitioner

Nurse Practitioner — Family

Code: 363LF0000X

2208(OK)
Family Medicine PhysicianPrimary

Family Medicine

Code: 207Q00000X

2208(OK)

Contact & Hours

Address
ONE WICKERSHAM DR
MANGUM, OK 73554

Quick Facts

NPI
1093986937
Entity Type
Organization
Medicare
Not confirmed
Specialties
4
Locations
1

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