BLACKHAWK MANGUM, LLC

MANGUM, OK
NPI1093247082
Doing Business AsALTUS RADIOLOGY CENTER
Entity TypeOrganization
Authorized ContactTOMMY JOHNSON
CEO
580-782-3353
Organization Subpart ?Yes
Primary Taxonomy261QR0200X Clinic/Center, Radiology
(Licence: OK  2208)
Enumeration Date2017-03-30
Last Update Date2017-03-30
Business Address
BLACKHAWK MANGUM, LLC
1 WICKERSHAM ST
MANGUM, OK 73554-9117
Phone number: 580-782-3353
Mailing Address
BLACKHAWK MANGUM, LLC
3000 N MAIN ST SUITE 100
ALTUS, OK 73521-1348
Phone number: 580-477-2674