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NPI Code Detail

MEDICARE: GENE L MUSE MD

MEDICARE:   GENE L MUSE  MD
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
1207XX0005XSports Medicine (Orthopaedic Surgery) Physician11348OK
2207XX0005XSports Medicine (Orthopaedic Surgery) Physician11348OKOK

Other Identifiers

General Provider Information

NPI Number : 1962412569
Entity Type Code : Individual
Provider Name (Legal Business Name) : GENE L MUSE MD
Provider Business Mailing Address
First Line : 4200 W MEMORIAL RD
Second Line : STE 1001
City : OKLAHOMA CITY
State : OK
Zip : 73120-9350
Country : US
Telephone Number : 405-787-7678
Fax Number : 405-751-3367
Provider Business Practice Location Address
First Line : 4200 W MEMORIAL ROAD
Second Line : STE 1001
City : OKLAHOMA CITY
State : OK
Zip : 73120
Country : US
Telephone Number : 405-787-7678
Fax Number : 405-751-3367
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2006
Last Update Date : 06/19/2009

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Directions to “ GENE L MUSE MD” Practice Location

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