Individual
ELISA MULLIKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
39863 HIGHWAY 184, MANCOS, CO 81328-9033
(970) 946-3386
Mailing address
39863 HIGHWAY 184, MANCOS, CO 81328-9033
(970) 946-3386
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0005301
CO
Other
Enumeration date
12/29/2015
Last updated
01/10/2020
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