Individual
DIRK HARMEN MOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
374 W OLIVE AVENUE, SUITE B, MERCED, CA 95348
(209) 383-3076
(209) 383-6301
Mailing address
PO BOX 3768, MERCED, CA 95344-3768
(209) 383-3076
(209) 383-6301
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G37895
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G378950
—
CA
Enumeration date
09/06/2006
Last updated
03/30/2023
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