# DR. NILS K MUNGAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1013964782
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207WX0110X | Pediatric Ophthalmology and Strabismus Specialist Physician | 16417 | MS | Yes |

## Other

- **Enumeration date:** 05/28/2006
- **Last updated:** 10/08/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00121091 | — | MS |
| 01 | — | 180041190 | RAILROAD MEDICARE | MS |
| 05 | — | 194374 | — | AL |
| 01 | — | P00462293 | RAILROAD MEDICARE | MS |
| 01 | — | P01236791 | RAILROAD MEDICARE | MS |