Provider Demographics
NPI:1447787353
Name:MUGLER, GREG JAY (MD)
Entity Type:Individual
Prefix:
First Name:GREG
Middle Name:JAY
Last Name:MUGLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:610 N OSAGE ST
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:KS
Mailing Address - Zip Code:67119-8242
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:610 N OSAGE ST
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:KS
Practice Address - Zip Code:67119-8242
Practice Address - Country:US
Practice Address - Phone:216-202-4772
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-23
Last Update Date:2017-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy