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Search › Oklahoma › 183500000X

Greg Mouse

NPI 1659929800 · on the registry since 2019 · sole proprietor

Practice

Address
2700 W 3rd St
Elk City, OK 73644
Phone
(580) 225-1600
Organisation at this address
Hac, Inc.
Elk City United Drug
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-08-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma