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Individual

ASHLEY MARIE MULDER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2035 MESQUITE AVE, LAKE HAVASU CITY, AZ 86403-5894
(928) 208-4598
(888) 571-6436
Mailing address
2035 MESQUITE AVE, LAKE HAVASU CITY, AZ 86403-5894
(928) 208-4598
(888) 571-6436

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
69006
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
141544
AZ
Enumeration date
04/03/2020
Last updated
12/11/2025
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