Individual
OLIVER NELS-ANDER MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
280 1ST ST, HOLLOMAN AFB, NM 88330-8273
(575) 572-3564
Mailing address
280 1ST ST, HOLLOMAN AFB, NM 88330-8273
(575) 572-3564
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT.0003087
CO
Other
Enumeration date
10/19/2011
Last updated
08/15/2014
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