Individual
ROBERT DUANE MULLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
8806 GREEN ST, WHEELERSBURG, OH 45694-1940
(740) 574-8893
Mailing address
8806 GREEN ST, WHEELERSBURG, OH 45694-1940
(740) 574-8893
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
03030
KY
207P00000X
Emergency Medicine Physician
Primary
34008202
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000543723
BCBS
KY
01
—
1072427
BRICKSTREET
WV
01
—
2487447
OH MEDICAID MOLINA
OH
05
—
2487447
—
OH
05
—
3810010698
—
WV
01
—
50016930
PASSPORT
KY
05
—
64085970
—
KY
Enumeration date
05/01/2006
Last updated
02/15/2011
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