Individual
DR. GUS J MOUHLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 N MARIETTA ST, ST CLAIRSVILLE, OH 43950
(740) 695-9234
(740) 695-9407
Mailing address
111 N MARIETTA ST, ST CLAIRSVILLE, OH 43950
(740) 695-9234
(740) 695-9407
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
30-037070
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0277918
—
OH
Enumeration date
11/27/2006
Last updated
07/08/2007
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