Individual
DR. JEFFREY L MULERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2550 ADDISON AVE E, SUITE A, TWIN FALLS, ID 83301-6749
(208) 814-7700
(208) 933-9301
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 814-7400
(208) 814-7491
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
M-10252
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790988509
—
ID
05
—
808166700
—
ID
Enumeration date
06/08/2007
Last updated
02/02/2015
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