Individual
DENNIS W. MCMULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1313 E. 32ND ST, SILVER CITY, NM 88061
(575) 532-7000
Mailing address
205 W. BOUTZ RD. BLDG #1, LAS CRUCES, NM 88005
(575) 532-7000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
79-216
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06338
—
NM
01
—
10004752
LOVELACE
NM
01
—
300018733
RR MEDICARE
—
01
—
NM002038
BCBS OF NM
NM
Enumeration date
03/14/2006
Last updated
07/01/2009
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