Individual
PATRICK MULLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1235 E CHEROKEE ST, SPRINGFIELD, MO 65804
(417) 820-9729
Mailing address
1235 E CHEROKEE ST, SPRINGFIELD, MO 65804-2203
(417) 820-9729
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1584
SC
2085R0202X
Diagnostic Radiology Physician
Primary
2018014424
MO
Other
Enumeration date
06/18/2012
Last updated
07/17/2018
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