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Individual

DR. PETER JAMES MOSTERT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
4500 S GARNETT RD STE 300, TULSA, OK 74146-5238
(918) 728-6194
Mailing address
PO BOX 973038, DALLAS, TX 75397-3038
(918) 622-0436

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4793
OK

Other

Enumeration date
03/08/2011
Last updated
07/29/2014
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