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Individual

VAL G. MULLINAX

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
1928 N 1120 W # 6, PROVO, UT 84604-1045
(801) 374-3010
(801) 377-2426
Mailing address
1928 N 1120 W # 6, PROVO, UT 84604-1045
(801) 374-3010
(801) 377-2426

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
268974-0501
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
107008174101
SELECT HEALTH PLANS
UT
01
107711
DESERET MUTUAL HEALTH PLA
UT
01
27-00074
UNITED HEALTHCARE
UT
01
47874
PEHP
UT
01
480026356
RAILROAD MEDICARE
UT
01
QM0000070418
ALTIUS HEALTHPLANS
UT
Enumeration date
08/31/2006
Last updated
02/11/2009
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