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NPI Code Detail

MEDICARE: ANDREW DARYL MULLINS D.O.

MEDICARE:   ANDREW DARYL MULLINS  D.O.
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
12085R0202XDiagnostic Radiology PhysicianC4314KY
22085R0204XVascular & Interventional Radiology Physician2025033845MO
32085R0204XVascular & Interventional Radiology Physician036165392IL

General Provider Information

NPI Number : 1861493603
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW DARYL MULLINS D.O.
Provider Business Mailing Address
First Line : 70 DOCTORS PARK
Second Line :
City : CAPE GIRARDEAU
State : MO
Zip : 63703-4928
Country : US
Telephone Number : 573-335-6671
Fax Number : 573-339-0083
Provider Business Practice Location Address
First Line : 70 DOCTORS PARK
Second Line :
City : CAPE GIRARDEAU
State : MO
Zip : 63703-4928
Country : US
Telephone Number : 573-334-6071
Fax Number : 573-339-0083
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2005
Last Update Date : 08/11/2025

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Directions to “ ANDREW DARYL MULLINS D.O.” Practice Location

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