Individual
MARY GUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1011 HONOR HEIGHTS DR, MUSKOGEE, OK 74401-1318
(198) 781-3637
Mailing address
PO BOX 533, MUSKOGEE, OK 74402-0533
(918) 781-3637
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
734
OK
Other
Enumeration date
08/17/2006
Last updated
07/08/2007
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