Individual
DR. STEVEN PAUL MULLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1740 DELTA WATERS RD, SUITE 100, MEDFORD, OR 97504-9175
(541) 245-6856
(541) 245-0734
Mailing address
1740 DELTA WATERS RD, SUITE 100, MEDFORD, OR 97504-9175
(541) 245-6856
(541) 245-0734
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1603T
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
226305
—
OR
Enumeration date
01/02/2007
Last updated
03/02/2009
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