Organization
MICHAEL L MULLINS PLLC
Active
Organization
MICHAEL L MULLINS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL LEON MULLINS M.D. (PRESIDENT)
(405) 202-5399
Entity
Organization
Contact information
Practice address
901 N PORTER AVE, NORMAN, OK 73071-6404
(660) 826-5960
Mailing address
PO BOX 1547, SEDALIA, MO 65302-1547
(660) 826-5960
(660) 826-4852
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100709800A
—
OK
01
—
DN3686
RR MEDICARE
OK
Enumeration date
11/15/2007
Last updated
02/25/2020
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