Individual
DR. JOHN R MULLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1015 S 13TH ST, ALTOONA, PA 16602-6013
(814) 944-4907
Mailing address
1015 S 13TH ST, ALTOONA, PA 16602-6013
(814) 944-4907
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
6993
MD
1223G0001X
General Practice Dentistry
Primary
DS022401L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DS022401L
PROFFESIONAL LICENSE
PA
Enumeration date
10/16/2006
Last updated
11/07/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us