Individual
AMY D MCMULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1669 DOMINICAN WAY, SANTA CRUZ, CA 95065-1523
(831) 475-2220
Mailing address
1669 DOMINICAN WAY, SANTA CRUZ, CA 95065-1523
(831) 475-2220
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A100403
CA
207RH0003X
Hematology & Oncology Physician
Primary
A100403
CA
Other
Enumeration date
07/10/2006
Last updated
07/15/2016
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