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Mr. Charles Robert Mutch, PA
Radiologic Technologist in Ft. Gibson, Oklahoma
NPI 1831206671

Charles Robert Mutch is a Radiologic Technologist based in Tahlequah, OK. Charles Robert Mutch practices in Ft. Gibson, OK and has the professional credentials of PA. The NPI Number for Charles Robert Mutch is 1831206671 and holds a License No. 39 (Oklahoma).

The current practice location address for Charles Robert Mutch is 104 Lone Oak Circle, Ft. Gibson, OK and can be reached out via phone at 918-478-2101 and via fax at 918-478-6008.

Location: 104 Lone Oak Circle, Ft. Gibson, OK, 74465-1008
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831206671
Provider Name
Charles Robert Mutch
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
104 Lone Oak Circle, Ft. Gibson, OK, 74465-1008
Phone Number
918-478-2101
Fax Number
918-478-6008
Provider Enumeration Date
08/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100015570A 05 OK
institution
Provider Business Practice Location Address Details
Address
104 Lone Oak Circle
City
Ft. Gibson
State
Oklahoma
Zip
74434
Phone Number
918-478-2101
Fax Number
918-478-6008
person
Provider Business Mailing Address Details
Address
104 Lone Oak Circle
City
Ft. Gibson
State
Oklahoma
Zip
74434
Phone Number
918-478-2101
Fax Number
918-478-6008
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
39 (Oklahoma)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Preventive Medicine
Speciality
Occupational Medicine
Taxonomy
2083X0100X
License No.
39 (Oklahoma)
Definition
Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability.
person
Provider's Taxonomy Details 3
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Radiologic Technologist
Speciality
-
Taxonomy
247100000X
License No.
39 (Oklahoma)
Definition
An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment.
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