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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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