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Individual

ROBERT B MULLAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
3851 E LOHMAN AVE STE 1, LAS CRUCES, NM 88011-8296
(575) 993-5611
(575) 483-7224
Mailing address
3851 E LOHMAN AVE STE 4, LAS CRUCES, NM 88011-8296
(575) 993-5611
(575) 483-7224

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
283
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
47183829
NM
01
74864
PRESBYTERIAN
NM
01
NM015A04
BC/BS
NM
01
P00062140
RR MEDICARE
NM
Enumeration date
09/27/2005
Last updated
11/09/2025
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