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NPI Code Detail

MEDICARE: DR. COLLEEN ELIZABETH MULLIN M.D.

MEDICARE: DR. COLLEEN ELIZABETH MULLIN M.D.
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
1207V00000XObstetrics & Gynecology PhysicianDR0056047CO
2207V00000XObstetrics & Gynecology Physician24742NE

General Provider Information

NPI Number : 1699970418
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. COLLEEN ELIZABETH MULLIN M.D.
Provider Business Mailing Address
First Line : 9850 GENESEE AVE STE 820
Second Line :
City : LA JOLLA
State : CA
Zip : 92037-1219
Country : US
Telephone Number : 858-677-0777
Fax Number : 858-677-0666
Provider Business Practice Location Address
First Line : 7233 CHURCH RANCH BLVD
Second Line :
City : WESTMINSTER
State : CO
Zip : 80021-4094
Country : US
Telephone Number : 303-925-4020
Fax Number : 303-925-4021
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2007
Last Update Date : 12/18/2025

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