BLACKHAWK MANGUM, LLC is a primary care clinic center in Mangum, OK. BLACKHAWK MANGUM, LLC NPI is 1033388509. The provider is registered as an organization entity type.
The provider Is Doing Business As Quartz Mountain Medical Clinic - Mangum.
The provider's business location address is:
118 SOUTH LOUIS TITTLE
MANGUM, OK
ZIP 73554
Phone: (580) 782-2113
Fax: (580) 782-2141
The provider's authorized official is Shana Davenport .
The authorized official title is Insurance Credentialing Supervisor and has the following contact phone number (512) 681-3460.
The enumeration date for this NPI number is 2/28/2008 and was last updated on 3/4/2009.