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Individual

DR. PATRICK DALE MULKEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2100 LOUISIANA BLVD NE STE 410, ALBUQUERQUE, NM 87110-5412
(505) 724-4300
(505) 338-0034
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-6770
(505) 923-5354

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
81993
AZ
207X00000X
Orthopaedic Surgery Physician
Primary
MD2013-0461
NM

Other

Enumeration date
02/19/2008
Last updated
09/07/2021
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