Eric W Mix, DO

NPI #1003806704 in Muskogee, Oklahoma

Provider Information

NPI Number: 1003806704
Entity Type: Individual
Name: Eric W Mix, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: DO
Enumeration Date: Oct 24, 2005
Last Updated: Aug 31, 2009

Practice Location

Address: 300 ROCKEFELLER DR
City: Muskogee
State: Oklahoma
ZIP Code: 74401-5075
Phone: (918) 781-9466

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine - Emergency Medical Services — Emergency Medical Services	207PE0004X
Family Medicine	207Q00000X	Primary

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