GERALD A AMUNDSEN II MD

Dr GERALD A AMUNDSEN II MD is a male medical professional, specializing in Family Medicine. He graduated in 1992 from University Of Oklahoma College Of Medicine.

Contact

206 N MUSTANG MALL TERRACE
MUSTANG
OK
730645135

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GERALD A AMUNDSEN II MD Information

Npi 1710989702
Pac Id 4880589233
Professional Enrollment Id I20040216001119
Last Name AMUNDSEN
First Name GERALD
Middle Name A
Suffix II
Gender M
Credential MD
Medical School Name UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduation Year 1992
Primary Specialty FAMILY MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 206 N MUSTANG MALL TERRACE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City MUSTANG
State OK
Zip Code 730645135
Phone Number
Hospital Affiliation Ccn 1 370037
Hospital Affiliation Lbn 1 ST ANTHONY HOSPITAL
Hospital Affiliation Ccn 2 370211
Hospital Affiliation Lbn 2 INTEGRIS CANADIAN VALLEY HOSPITAL
Hospital Affiliation Ccn 3 370093
Hospital Affiliation Lbn 3 OU MEDICAL CENTER
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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