Individual
DR. PATRICK HUGH MULLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1171 W TARGET RANGE RD, NOGALES, AZ 85621-2415
(520) 285-3000
Mailing address
6500 LONGLEY LN, RENO, NV 89511-2632
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
220972
AK
207P00000X
Emergency Medicine Physician
23829
NV
207P00000X
Emergency Medicine Physician
Primary
68453
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
220972
ALASKA STATE MEDICAL BOARD
AK
01
—
23829
NEVADA BOARD OF MEDICAL EXAMINERS
NV
01
—
68453
ARIZONA STATE MEDICAL BOARD
AZ
01
—
R77904
ARIZONA MEDICAL BOARD
AZ
Enumeration date
04/17/2020
Last updated
12/04/2024
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