Beth Ann Mulligan P.A.-C

NPI 1073728507 - Physician Assistant - 363A00000X

NPI Details
NPI 1073728507
Gender Female
Enumeration Date 05/10/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
72301 COUNTRY CLUB DR STE 102
RANCHO MIRAGE CA, 92270-8007, US
Phone (760) 862-9168
Fax
Business Location
72301 COUNTRY CLUB DR STE 102
RANCHO MIRAGE CA, 92270-8007, US
Phone (760) 862-9168
Fax
Toxanomy
Taxonomy Code 363A00000X
License State California
License Number PA11287
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According to our database, Beth Ann Mulligan P.A.-C NPI is 1073728507, taxonomy code is 363A00000X and license number is PA11287, license state is located at California. Beth Ann Mulligan P.A.-C physically located at 72301 Country Club Dr Ste 102, Rancho Mirage CA, 92270-8007. NPI Number Beth Ann Mulligan P.A.-C has the Individual type.

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1073728507 NPI number is provided on an as is basis without warranty of any kind. 1073728507 is maintained by the National Plan & Provider Enumeration System. The contents of Beth Ann Mulligan P.A.-C are for informational purposes only.