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NPI Code Detail

MEDICARE: DAVID MCMULLAN MD

MEDICARE: DAVID MCMULLAN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianMD035664DC

General Provider Information

NPI Number : 1407933799
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID MCMULLAN MD
Provider Business Mailing Address
First Line : PO BOX 359300
Second Line : 4800 SAND POINT WAY NE
City : SEATTLE
State : WA
Zip : 98195-9300
Country : US
Telephone Number : 206-987-2762
Fax Number :
Provider Business Practice Location Address
First Line : 4800 SAND POINT WAY NE
Second Line :
City : SEATTLE
State : WA
Zip : 98195-0001
Country : US
Telephone Number : 206-987-2762
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2006
Last Update Date : 01/09/2008

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