Individual
DR. GARY D MULDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103-9001
(619) 543-6001
Mailing address
200 W ARBOR DR, SAN DIEGO, CA 92103-9001
(619) 543-6001
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E2959
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E29590
—
CA
Enumeration date
07/30/2006
Last updated
07/08/2007
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