Organization
MUSTANG FAMILY PHYSICIANS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD A AMUNDSEN M.D. (PRESIDENT)
(405) 256-6000
Entity
Organization
Contact information
Practice address
206 N MUSTANG MALL TER, MUSTANG, OK 73064-5135
(405) 256-6000
(405) 256-6001
Mailing address
PO BOX 268945, OKLAHOMA CITY, OK 73126-8945
(405) 256-6000
(405) 256-6001
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20242
OK
Other
Enumeration date
06/27/2007
Last updated
10/22/2007
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