| Doctor Name: | MRS. AMY JOANN MCMULLEN |
| NPI Number: | 1003031410 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 4100 W 3rd St Dayton, OH - 454289000 |
| Business Phone Number: | 9372686511 |
| Business Fax Number: | 9372675372 |
| Mailing Address: | 8389 Hawks Nest Ct, CENTERVILLE |
| State: | OH |
| Postal Code: | 45458 |
| Phone Number: | 9372686511 |
| Fax Number: | 9372675372 |
| NPI Enumeration Date: | 04/13/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2471N0900X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Radiologic Technologist |
| Taxonomy Specialization: | Nuclear Medicine Technology |
| Taxonomy Definition: | |