Individual
DR. PHILIP SCHUYLER MULLENIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
WALTER REED NATIONAL MILITARY MEDICAL CENTER, BETHESDA, MD 20889-0001
(919) 806-9688
Mailing address
8901 WISCONSIN AVE, BETHESDA, MD 20889-0004
(919) 806-9688
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
01055814A
IN
208600000X
Surgery Physician
Primary
2007-01695
NC
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
2007-01695
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5909218
—
NC
Enumeration date
02/27/2006
Last updated
04/18/2024
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