Individual
BRIAN HEATH MULLIS
Active
Individual
BRIAN HEATH MULLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME 92245
FL
207X00000X
Orthopaedic Surgery Physician
Primary
01061878A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000483360
ANTHEM PTAN
IN
01
—
000001255075
ANTHEM PTAN
IN
05
—
200823960
—
IN
05
—
272599100
—
FL
Enumeration date
02/10/2006
Last updated
03/15/2025
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