Individual
ROD LEE ELLIOTT-MULLENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
969 N MASON RD STE 250, SAINT LOUIS, MO 63141-6370
(314) 273-0195
(314) 273-0190
Mailing address
660 MASON RIDGE CENTER DR STE 300, SAINT LOUIS, MO 63141-8512
(314) 996-8072
(314) 996-8072
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
DO150936
OR
207RP1001X
Pulmonary Disease Physician
K9776
TX
207RS0012X
Sleep Medicine (Internal Medicine) Physician
2024006433
MO
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
DO150936
OR
207RS0012X
Sleep Medicine (Internal Medicine) Physician
K-9776
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037600601
—
TX
01
—
10725082
CAQH ID
OR
05
—
500621775
—
OR
01
—
R186837
MEDICARE
OR
Enumeration date
07/21/2006
Last updated
09/19/2025
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