Individual
BRADFORD B MULLIN
Active
Individual
BRADFORD B MULLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
35059100M
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000006771
ANTHEM PIN
OH
05
—
0979204
—
OH
01
—
1789438007
CIGNA HEALTHCARE PIN
OH
01
—
310874776029
CARESOURCE PIN
OH
01
—
600102
UNITED HEALTHCARE PIN
OH
05
—
64094782
—
KY
01
—
649946
AETNA PIN
OH
Enumeration date
07/05/2005
Last updated
07/01/2016
Update your record
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