Ryan T Mundy, M.D.
Pediatrics in Muskogee, OK. Individual provider (NPI-1).
NPI number1447488762
StatusActive
Last updated in NPPESAug 3, 2020
Details
- NPI
- 1447488762
- Entity type
- Individual (NPI-1)
- Name
- Ryan T Mundy
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 25, 2009
- Certification date
- Aug 3, 2020
- Last updated
- Aug 3, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 27222 | OK | Yes |
Practice location
2009 N Main StPremier Pediatrics
Muskogee, OK 74401-4131
Phone 918-816-4024 · Fax 918-816-4025
Mailing address
2009 N Main StPremier Pediatrics
Muskogee, OK 74401-4131
Phone 918-816-4024 · Fax 918-816-4025
Other practice locations
7814 E 121st St S
Bixby, OK 74008-2304
Bixby, OK 74008-2304
Phone 918-943-5777
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