NPI 1174029078

Michael Bryan Mullen, MD

Practitioner Otolaryngology Physician Mount Vernon, WA

Practice location

Address: 118 S 12th St, Mount Vernon, WA 98274-4036
Phone: (360) 336-2178
Fax: (360) 336-1995
Mailing address: 1400 E Kincaid St, Mount Vernon, WA 98274-4127

Registered specialties (2)

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence MD61425983 (WA)

Other Otolaryngology providers in Washington →

Otolaryngology Physician

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence 1174029078 (KY)

Registry record

NPI: 1174029078
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Apr 2018
Record last updated: 23 Aug 2023

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.