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1 Wickersham St Mangum OK 73554-9117 | |
(580) 782-3353 | |
Not Available |
Full Name | |
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Speciality | Clinic/center |
Location | 1 Wickersham St, Mangum, Oklahoma |
Authorized Official Name and Position | Natalie Young (CEO) |
Authorized Official Contact | 5807823353 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1116 N Main St #12 Altus OK 73521-3149 Ph: (580) 477-2674 | 1 Wickersham St Mangum OK 73554-9117 Ph: (580) 782-3353 |
NPI Number | 1316326770 |
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Provider Enumeration Date | 05/19/2015 |
Last Update Date | 05/19/2015 |
Identifier | Type | State | Issuer |
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1316326770 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Quartz Mountian Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 118 S Louis Tittle Ave, Mangum, OK 73554 Phone: 580-782-2113 Fax: 580-782-5944 | |