NPI 1770003006

Halie Muckelrath, DOMS

Practitioner Family Medicine Physician Cushing, OK

Practice location

Address: 1025 E 2nd St, Cushing, OK 74023-4136
Phone: (918) 579-3825
Mailing address: 1145 S Utica Ave STE 110, Tulsa, OK 74104-4013

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 6452 (OK)

Other Family Medicine providers in Oklahoma →

Registry record

NPI: 1770003006
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Jun 2017
Record last updated: 14 Sep 2020

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.