Individual
CHRISTOPHER MULDOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2719
(505) 272-2121
Mailing address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2719
(505) 272-2121
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA2395
NV
363AM0700X
Medical Physician Assistant
PA60381426
WA
363AS0400X
Surgical Physician Assistant
Primary
PA2022-0048
NM
Other
Enumeration date
09/26/2013
Last updated
07/17/2024
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