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Individual

DR. MARY MULLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
405 W GRAND AVE, DAYTON, OH 45405-7538
(937) 723-3276
(937) 723-3277
Mailing address
2002 OAKSHADE CT, CRESTWOOD, KY 40014-2000
(765) 586-0868

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.146965
OH
207R00000X
Internal Medicine Physician
52306
KY
208000000X
Pediatrics Physician
52306
KY
208M00000X
Hospitalist Physician
35.146965
OH

Other

Enumeration date
04/02/2015
Last updated
06/29/2026
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