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Individual

DR. PATRICK W MULLINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9395 CROWN CREST BLVD, PARKER, CO 80138-8573
(303) 422-9438
Mailing address
9395 CROWN CREST BLVD, PARKER, CO 80138-8573
(303) 422-9438

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2000154581
MO
207L00000X
Anesthesiology Physician
Primary
DR.0053120
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
050085224
RR MEDICARE NUMBER
MO
05
100416720A
MO
05
205827801
MO
01
30884016
BCBS NUMBER
MO
Enumeration date
05/05/2006
Last updated
12/11/2019
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