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ROBERT MULLAN DPM INC NPI 1164415782


NPI Information

NPI: 1164415782
Provider Name: ROBERT MULLAN DPM INC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
1400 EL PASEO RD
LAS CRUCES, NM
ZIP 88001
Phone: (575) 522-2776
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ROBERT MULLAN DPM INC is a podiatrist in Las Cruces, NM. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. ROBERT MULLAN DPM INC NPI is 1164415782. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1400 EL PASEO RD
LAS CRUCES, NM
ZIP 88001-018
Phone: (575) 522-2776
Fax: (575) 522-2271

The provider's authorized official is Robert B Mullan .
The authorized official title is Owner and has the following contact phone number (575) 522-2271.

The enumeration date for this NPI number is 8/30/2005 and was last updated on 5/8/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatristYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1DA5269OTHERNEW MEXICORR MEDICARE
2900521053MEDICARE ID-TYPE UNSPECIFIEDNEW MEXICO
35028900001MEDICARE NSC
4NM015A04OTHERNEW MEXICOBCBS OF NM

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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