Organization
MCALESTER PHYSICIAN MANAGEMENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY E MOUSER (VP HR)
(918) 426-1800
Entity
Organization
Contact information
Practice address
1 E CLARK BASS BLVD, MCALESTER, OK 74501-4209
(918) 421-8045
(918) 421-6824
Mailing address
1 E CLARK BASS BLVD, MCALESTER, OK 74501-4209
(918) 421-8045
(918) 421-6824
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2203
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200093060A
—
OK
Enumeration date
09/02/2006
Last updated
10/14/2010
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