Individual
IMELDA MULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
NAVAL MEDICAL CENTER 34800 BOB WILSON DR, SAN DIEGO, CA 92134-0001
(619) 532-5998
(619) 532-5507
Mailing address
41 MILLERBROOK LN, COPAKE FALLS, NY 12517-5409
(518) 929-6217
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
VAD0000
—
CA
Enumeration date
05/15/2017
Last updated
05/15/2017
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