Gerald A Amundsen in Mustang - Family Medicine

Gerald A Amundsen - NPI 1710989702

Gerald A Amundsen is a Family Medicine in Mustang, Oklahoma. Gerald A Amundsen practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Gerald A Amundsen is 1710989702. The last update date is 2012-05-23.

Gerald A Amundsen's current location address is 206 N Mustang Mall Ter, Mustang, Oklahoma. You can contact this provider via phone number 4052566000 and fax number 4052566001. The mailing address for Gerald A Amundsen is 206 N Mustang Mall Ter, Mustang, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Name Gerald A Amundsen
Address 206 N Mustang Mall Ter, Mustang, Oklahoma
Phone Number 4052566000
Fax Number 4052566001
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1710989702
Provider Enumeration Date 2005-08-10
Last Updated Date 2012-05-23

Provider Mailing Address Detail

Address 206 N Mustang Mall Ter
City Mustang
State Oklahoma (OK)
Post Code 730645135
Phone Number 4052566000
Fax Number 4052566001

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 20242
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
100204570B OK --
200018240A OK --

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FAQs about Gerald A Amundsen

What is the unique 10-digit identification code assigned to Gerald A Amundsen by the Centers for Medicare & Medicaid Services?

The Gerald A Amundsen has been issued the NPI (National Provider Identifier) 1710989702, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Where is the Gerald A Amundsen located?

The Gerald A Amundsen is located at 206 N Mustang Mall Ter, Mustang, OK 730645135.

What is the Gerald A Amundsen's area of specialization and corresponding taxonomy classification?

The Gerald A Amundsen's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services issue the 1710989702 to Gerald A Amundsen?

The Gerald A Amundsen received its 1710989702 assignment from the Centers for Medicare & Medicaid Services on 2005-08-10.

When was the information related to Gerald A Amundsen most recently updated or refreshed?

The details pertaining to the Gerald A Amundsen, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-05-23.

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