Organization
HEMATOLOGY-ONCOLOGY ASSOCIATES OF EASTERN IDAHO, PLLC
Active
Other names
Kevin P. Mulvey
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN PATRICK MULVEY MD (OWNER)
(651) 414-0971
Entity
Organization
Contact information
Practice address
2008 LAUREL AVE, SAINT PAUL, MN 55104-5808
(651) 414-0971
Mailing address
2008 LAUREL AVE, SAINT PAUL, MN 55104-5808
(651) 414-0971
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
11/02/2006
Last updated
01/10/2008
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