Individual
MR. PATRICK JAMES MULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2121 W IRONWOOD CENTER DR, COEUR D ALENE, ID 83814-2639
(208) 625-4680
(208) 625-4681
Mailing address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 625-5085
(208) 625-5731
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
M-8506
ID
2086S0122X
Plastic and Reconstructive Surgery Physician
M8506
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806468700
—
ID
Enumeration date
11/04/2005
Last updated
04/14/2025
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