Individual
ROBERT H MULFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
128 N MAIN ST, VERSAILLES, IN 47042
(812) 689-5101
(812) 265-0570
Mailing address
PO BOX 189, MADISON, IN 47250-0189
(812) 689-5101
(812) 265-0570
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01024903
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000042197
ANTHEM BCBS
IN
01
—
080137666
MEDICARE RAILROAD
—
01
—
419687P
SIHO
IN
01
—
5845042
AETNA
—
Enumeration date
07/05/2006
Last updated
06/18/2013
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