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Individual

BRYAN R MULLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2204 WILBORN AVE, HALIFAX REGIONAL MEDICAL CENTER, SOUTH BOSTON, VA 24592
(434) 517-3229
Mailing address
3900 CONNECTICUT AVE NW, WASHINGTON, DC 20008
(202) 686-4455

Taxonomy

Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
0101053735
VA

Other

Enumeration date
03/06/2007
Last updated
07/08/2007
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