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Individual

DR. DAVID ALAN MULLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
30 N ALLEN ST, BONNE TERRE, MO 63628-1210
(573) 358-3343
(573) 358-5458
Mailing address
30 N ALLEN ST, BONNE TERRE, MO 63628-1210
(573) 358-3343
(573) 358-5458

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36676
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0130012
UNITED HEALTH CARE
MO
01
080123004
RAILROAD MEDICARE
MO
01
101523
HEALTHLINK, INC.
MO
01
13015V21878
HEALTHCARE USA
MO
01
20351
BC.BS OF MO
MO
05
242084929
MO
01
325136
HARMONY HEALTH PLAN
MO
01
367V40311
GROUP HEALTH PLAN
MO
01
431815767
CMR
MO
01
4393019
AETNA
MO
01
700678
MERCY CARE PLUS
MO
01
A10298
MERCY HEALTH PLAN
MO
Enumeration date
02/21/2006
Last updated
10/22/2019
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