Organization
PATRICK J MULLEN MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK J MULLEN M.D. (OWNER)
(208) 777-7830
Entity
Organization
Contact information
Practice address
750 N SYRINGA ST, SUITE 204, POST FALLS, ID 83854-5275
(208) 777-7830
(208) 777-7850
Mailing address
PO BOX 1204, COEUR D ALENE, ID 83816-1204
(208) 777-7830
(208) 777-7850
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
ID
Other
Enumeration date
12/16/2010
Last updated
12/16/2010
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