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NPI Code Detail

MEDICARE: RICK MUSTAIN DC,PC

MEDICARE: RICK MUSTAIN DC,PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1609023589
Entity Type Code : Organization
Provider Name (Legal Business Name) : RICK MUSTAIN DC,PC
Provider Business Mailing Address
First Line : 11201 N MAY AVE
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73120-6315
Country : US
Telephone Number : 405-751-0848
Fax Number :
Provider Business Practice Location Address
First Line : 11201 N MAY AVE
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73120-6315
Country : US
Telephone Number : 405-751-0848
Fax Number :
Authorized Official
Title or Position : PRESIDENT/DOCTOR
Name : DR. RICK JAMES MUSTAIN
Credential : DC
Telephone Number : 405-751-0848
Provider Enumeration Date : 08/22/2008
Last Update Date : 04/07/2009

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