NPI 1003806704

Eric W Mix, DO

Practitioner Family Medicine Physician Muskogee, OK

Practice location

Address: 300 Rockefeller Dr, Muskogee, OK 74401-5075
Phone: (918) 781-9466
Mailing address: Lockbox #17 2424 E. 21st #100, Tulsa, OK 74114-1711

Registered specialties (2)

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 4316 (OK)

Other Family Medicine providers in Oklahoma →

Emergency Medical Services (Emergency Medicine) Physician

Allopathic & Osteopathic Physicians Taxonomy 207PE0004X Licence 4316 (OK)

Other Emergency Medicine providers in Oklahoma →

Registry record

NPI: 1003806704
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Oct 2005
Record last updated: 31 Aug 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.