NPI 1720381536

Patrick J Mullen MD PLLC

Organisation Plastic and Reconstructive Surgery Physician Post Falls, ID

Practice location

Address: 750 N Syringa St Suite 204, Post Falls, ID 83854-5275
Phone: (208) 777-7830
Fax: (208) 777-7850
Mailing address: PO Box 1204, Coeur D Alene, ID 83816-1204

Authorised official

Name: Patrick J Mullen
Title: Owner
Phone: (208) 777-7830

Registered specialties

Plastic and Reconstructive Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2086S0122X

Other Surgery providers in Idaho →

Registry record

NPI: 1720381536
Entity type: Organization
NPI issued: 16 Dec 2010
Record last updated: 16 Dec 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.