Individual
MARY MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1122 NE 13TH ST # 274B, OKLAHOMA CITY, OK 73117-1039
(405) 271-1515
Mailing address
700 NE 13TH ST, OKLAHOMA CITY, OK 73104-5004
(959) 433-7682
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
4506
OK
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
05/10/2019
Last updated
04/15/2022
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