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NPI Code Detail

MEDICARE: DR. BRIAN E MULKERIN MD

MEDICARE:  DR. BRIAN E MULKERIN  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
1207L00000XAnesthesiology Physician30425AZ

General Provider Information

NPI Number : 1528052560
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRIAN E MULKERIN MD
Provider Business Mailing Address
First Line : 1200 N BEAVER ST
Second Line :
City : FLAGSTAFF
State : AZ
Zip : 86001-3118
Country : US
Telephone Number : 928-213-6235
Fax Number : 928-213-6292
Provider Business Practice Location Address
First Line : 1200 N BEAVER ST
Second Line :
City : FLAGSTAFF
State : AZ
Zip : 86001-3118
Country : US
Telephone Number : 928-779-3366
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2005
Last Update Date : 09/11/2020

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Directions to “ DR. BRIAN E MULKERIN MD” Practice Location

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