John Randolph Mullins in Springfield - Vascular Surgery
John Randolph Mullins - NPI 1396784377
John Randolph Mullins is a Vascular Surgery in Springfield, Missouri. John Randolph Mullins practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for John Randolph Mullins is 1396784377. The last update date is 2019-07-19.
John Randolph Mullins's current location address is Po Box 9007, Springfield, Missouri. You can contact this provider via phone number 4178753000. The mailing address for John Randolph Mullins is Po Box 9007, Springfield, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Randolph Mullins |
|---|---|
| Address | Po Box 9007, Springfield, Missouri |
| Phone Number | 4178753000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1396784377 |
|---|---|
| Provider Enumeration Date | 2006-06-06 |
| Last Updated Date | 2019-07-19 |
Provider Mailing Address Detail
| Address | Po Box 9007 |
|---|---|
| City | Springfield |
| State | Missouri (MO) |
| Post Code | 658089007 |
| Phone Number | 4178753000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Surgery |
|---|---|
| Taxonomy | 2086S0129X |
| Licence No | 114866 |
|
Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 114254 | BLUE CROSS/BLUE SHIELD | ||
| 206962813 | MO | -- |
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What is the unique 10-digit identification code issued to John Randolph Mullins by the Centers for Medicare & Medicaid Services?
The John Randolph Mullins has been assigned the NPI (National Provider Identifier) 1396784377 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the John Randolph Mullins's physical address?
The John Randolph Mullins is physically located at Po Box 9007, in the city of Springfield, MO, with the postal code 658089007.
What is the John Randolph Mullins's specialty and taxonomy code?
The John Randolph Mullins's specialty is Vascular Surgery, and the corresponding taxonomy code is 2086S0129X.
On what date did John Randolph Mullins receive its 1396784377 assignment from the Centers for Medicare & Medicaid Services?
The John Randolph Mullins was assigned its 1396784377 on 2006-06-06, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to John Randolph Mullins most recently updated or revised?
The details related to John Randolph Mullins, including its address, specialty, and other relevant information, were last updated or revised on 2019-07-19.