NPI 1164589230

Steven Paul Mullins, OD

Practitioner Optometrist Medford, OR

Practice location

Address: 1740 Delta Waters Rd Suite 100, Medford, OR 97504-9175
Phone: (541) 245-6856
Fax: (541) 245-0734

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 1603T (OR)

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Registry record

NPI: 1164589230
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Jan 2007
Record last updated: 2 Mar 2009

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.