Individual
BRIAN C MCMULLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6360 S 3000 E STE 100, SALT LAKE CITY, UT 84121-6924
(801) 365-1032
Mailing address
6360 S 3000 E STE 100, SALT LAKE CITY, UT 84121-6924
(801) 365-1032
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0102204000
VA
207Q00000X
Family Medicine Physician
011437
AZ
207Q00000X
Family Medicine Physician
Primary
13574897-1204
UT
Other
Enumeration date
06/24/2013
Last updated
12/31/2024
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