Individual
KIMBERLY A MULLIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3601 S 6TH AVE, TUCSON, AZ 85723-0001
(520) 792-1450
Mailing address
3601 S 6TH AVE, TUCSON, AZ 85723-0001
(520) 792-1450
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
29584
AZ
207LP2900X
Pain Medicine (Anesthesiology) Physician
29584
AZ
208VP0014X
Interventional Pain Medicine Physician
Primary
29584
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
710831
—
AZ
Enumeration date
04/22/2006
Last updated
07/02/2021
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