Individual
MARVIN MOUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
104 LONE OAK CIR, FORT GIBSON, OK 74434-5001
(918) 478-2101
Mailing address
104 LONE OAK CIRCLE, FORT GIBSON, OK 74434
(918) 478-2101
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5887
OK
Other
Enumeration date
08/24/2007
Last updated
07/21/2022
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