Individual
DAVID CELDON MULLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
6140 S MEMORIAL DR, TULSA, OK 74133-1933
(918) 252-2020
(918) 307-1983
Mailing address
6140 S MEMORIAL DR, TULSA, OK 74133-1933
(918) 252-2020
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
033614
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010672601002
BCBSOK
OK
05
—
100784710A
—
OK
01
—
P01052454
RR MEDICARE
OK
Enumeration date
07/20/2006
Last updated
09/22/2014
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