Charles Robert Mutch in Tahlequah - Radiologic Technologist

Charles Robert Mutch - NPI 1831206671

Charles Robert Mutch is a Radiologic Technologist in Tahlequah, Oklahoma. Charles Robert Mutch practices all healthcare services and medical treatments related to Radiologic Technologist. The NPI Number for Charles Robert Mutch is 1831206671. The last update date is 2010-05-13.

Charles Robert Mutch's current location address is Po Box 1008, Tahlequah, Oklahoma. You can contact this provider via phone number 9184782101 and fax number 9184786008. The mailing address for Charles Robert Mutch is Po Box 1008, Tahlequah, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Name Charles Robert Mutch
Address Po Box 1008, Tahlequah, Oklahoma
Phone Number 9184782101
Fax Number 9184786008
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1831206671
Provider Enumeration Date 2006-08-25
Last Updated Date 2010-05-13

Provider Mailing Address Detail

Address Po Box 1008
City Tahlequah
State Oklahoma (OK)
Post Code 744651008
Phone Number 9184782101
Fax Number 9184786008

Provider's Primary Taxonomy Detail

Speciality Radiologic Technologist
Taxonomy 247100000X
Licence No 39
Definition:
A medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
100015570A OK --

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FAQs about Charles Robert Mutch

What is the unique 10-digit identifier code assigned to Charles Robert Mutch by the Centers for Medicare & Medicaid Services?

The Charles Robert Mutch has been issued the NPI (National Provider Identifier) 1831206671 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Charles Robert Mutch is geographically located?

The Charles Robert Mutch is physically situated at the following location: Po Box 1008, Tahlequah, OK, 744651008.

What is the Charles Robert Mutch's area of specialization and corresponding taxonomy classification?

The Charles Robert Mutch's specialty field is Radiologic Technologist, and it falls under the taxonomy code 247100000X, which categorizes healthcare providers based on their specialties.

On what date did Charles Robert Mutch receive its 1831206671 assignment from the Centers for Medicare & Medicaid Services?

The Charles Robert Mutch was assigned its 1831206671 on 2006-08-25, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the Charles Robert Mutch's information last updated?

The Charles Robert Mutch's information was last updated on 2010-05-13.

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