Individual
DR. PATRICK WILLIAM MULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
6335 N FRESNO ST, #208, FRESNO, CA 93710-5272
(559) 435-0220
(559) 435-9160
Mailing address
6335 N FRESNO ST, #208, FRESNO, CA 93710-5272
(559) 435-0220
(559) 435-9160
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E3202
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E32020
—
CA
01
—
328751600
DEPARTMENT OF LABOR
CA
01
—
E3202
CALIFORNIA LICENSE
CA
Enumeration date
08/17/2006
Last updated
06/04/2008
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