John R Mcmullen in Phoenix - Physician Assistant
John R Mcmullen - NPI 1497841506
John R Mcmullen is a Physician Assistant in Phoenix, Arizona. John R Mcmullen practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for John R Mcmullen is 1497841506. The last update date is 2013-09-24.
John R Mcmullen's current location address is 333 N 17th Dr, Phoenix, Arizona. You can contact this provider via phone number 4802782100. The mailing address for John R Mcmullen is 333 N 17th Dr, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John R Mcmullen |
|---|---|
| Address | 333 N 17th Dr, Phoenix, Arizona |
| Phone Number | 4802782100 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1497841506 |
|---|---|
| Provider Enumeration Date | 2006-10-05 |
| Last Updated Date | 2013-09-24 |
Provider Mailing Address Detail
| Address | 333 N 17th Dr |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850072423 |
| Phone Number | 4802782100 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 3613 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3613 | AZ | PA LICENSE |
Post Comment/ Review Below
What is the unique identifier code issued to John R Mcmullen by the Centers for Medicare & Medicaid Services (CMS)?
The John R Mcmullen has been assigned the NPI (National Provider Identifier) 1497841506. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where John R Mcmullen is physically located?
The John R Mcmullen is physically situated at the following address: 333 N 17Th Dr, Phoenix, AZ, 850072423.
What is the John R Mcmullen's specialty and taxonomy code?
The John R Mcmullen's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
On what date did the John R Mcmullen receive the assignment of its 1497841506 from the Centers for Medicare & Medicaid Services?
The John R Mcmullen was issued its 1497841506 by the Centers for Medicare & Medicaid Services on 2006-10-05.
As of what date were the John R Mcmullen's details last updated?
The information pertaining to the John R Mcmullen, including its address, specialty, and other details, was most recently updated on 2013-09-24.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC