Bruce Roger Mcmullen MD

NPI 1073574562 - Internal Medicine - 207R00000X

NPI Details
NPI 1073574562
Gender Male
Enumeration Date 04/01/2006
Last Updated 01/08/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
1122 SOUTH CLIFTON
WICHITA KS, 67218-2913, US
Phone (316) 682-5012
Fax (316) 652-9510
Business Location
1122 SOUTH CLIFTON
WICHITA KS, 67218-2913, US
Phone (316) 682-5012
Fax (316) 652-9510
Toxanomy
Taxonomy Code 207R00000X
License State Kansas
License Number 0418744
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According to our database, Bruce Roger Mcmullen MD NPI is 1073574562, taxonomy code is 207R00000X and license number is 0418744, license state is located at Kansas. Bruce Roger Mcmullen MD physically located at 1122 South Clifton, Wichita KS, 67218-2913. NPI Number Bruce Roger Mcmullen MD has the Individual type.

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1073574562 NPI number is provided on an as is basis without warranty of any kind. 1073574562 is maintained by the National Plan & Provider Enumeration System. The contents of Bruce Roger Mcmullen MD are for informational purposes only.