# HEMATOLOGY-ONCOLOGY ASSOCIATES OF EASTERN IDAHO, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kevin P. Mulvey
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144309253
- **Authorized official:** KEVIN PATRICK MULVEY MD (OWNER)
- **Authorized official phone:** (651) 414-0971

## Contact information

- **Practice address:** 2008 LAUREL AVE, SAINT PAUL, MN 55104-5808
- **Practice address phone:** (651) 414-0971
- **Mailing address:** 2008 LAUREL AVE, SAINT PAUL, MN 55104-5808
- **Mailing address phone:** (651) 414-0971

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/02/2006
- **Last updated:** 01/10/2008