Individual
MR. JUSTIN SCOTT MULBERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
650 HUEBNER RD, FORT RILEY, KS 66442-4030
(785) 239-7777
Mailing address
650 HUEBNER RD, FORT RILEY, KS 66442-4030
(785) 239-7777
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1062
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161-46-1028
—
NE
Enumeration date
06/03/2006
Last updated
02/08/2023
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