Individual
MADELINE MARIE MULLIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1820 STOVALL ST, BULLHEAD CITY, AZ 86442-8780
(928) 278-2963
Mailing address
1820 STOVALL ST, BULLHEAD CITY, AZ 86442-8780
(928) 278-2963
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11683
AZ
Other
Enumeration date
06/03/2026
Last updated
06/03/2026
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