Individual
JAMES G MULLET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
(540) 981-7553
Mailing address
PO BOX 12668, ROANOKE, VA 24027-2668
(540) 981-7553
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101038859
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007200404
—
VA
Enumeration date
06/15/2006
Last updated
05/12/2008
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