Individual
WILLIAM MULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
20 HOSPITAL DR, LOGAN, WV 25601-3452
(304) 831-1477
(304) 831-1596
Mailing address
330 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027-5098
(615) 920-7782
(615) 920-8775
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
1312
WV
207Q00000X
Family Medicine Physician
Primary
1312
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0053053000
—
WV
Enumeration date
04/17/2006
Last updated
08/24/2017
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