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Organization

MCALESTER REGIONAL HOSPITALIST

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. EMILY E MOUSER (VP HR)
(918) 426-1800
Entity
Organization

Contact information

Practice address
1 E CLARK BASS BLVD, MARKETING BUILDING, MCALESTER, OK 74501-4209
(918) 426-1800
(918) 421-6824
Mailing address
1 E CLARK BASS BLVD, MARKETING BUILDING, MCALESTER, OK 74501-4209
(918) 426-1800
(918) 421-6824

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2203
OK
208600000X
Surgery Physician
2203
OK
208M00000X
Hospitalist Physician
Primary
2203
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200213440A
OK
01
DP4386
RAILROAD MEDICARE
OK
Enumeration date
08/27/2008
Last updated
08/04/2011
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