Individual
JOHN RICHARD MULLENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 HOSPITAL DRIVE, GLENROCHIE PROF BLDG, ABINGDON, VA 24210
(276) 628-9331
Mailing address
PO BOX 918, ABINGDON, VA 24212-0918
(276) 628-9331
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101037035
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7230770
—
VA
Enumeration date
05/15/2006
Last updated
02/17/2010
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