BLACKHAWK MANGUM, LLC
Radiology at Wickersham St, Reed, OK

License number
Oklahoma 2208
Category
Ambulatory Health
Type
Radiology
Owner
Name: TOMMY JOHNSON
Title: CEO
Phone: (580) 782-3353
Address
Address 2
1 Wickersham St, Reed, OK 73554
3000 N Main St SUITE 100, Altus, OK 73521
National Provider ID: 1093247082
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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