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Individual
DR. DAVID THOMAS MULLIN
Active
Individual
DR. DAVID THOMAS MULLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C., M.A.O.M.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2004008980
MO
171100000X
Acupuncturist
2004008980
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
190381
BLUE CROSS BLUE SHIELD
MO
01
—
226762
COVENTRY
MO
01
—
667565
UNITED HEALTH CARE
MO
01
—
674377
HEALTHLINK
MO
01
—
9355033
PHCS
MO
Enumeration date
08/13/2006
Last updated
11/20/2007
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