NPI 1780398776

Chase Daniel Mullis

Practitioner Technician Apo, AE

Practice location

Address: 51st Medical Group, 777 Songtan Boulvard, Unit 2060, Apo, AE 96278-3627
Phone: (315) 784-3627

Registered specialties

Technician Primary

Nursing Service Related Providers Taxonomy 374700000X

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Registry record

NPI: 1780398776
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Jan 2023
Record last updated: 13 Jan 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.