Doctor Name: | JEFF MULLEN |
NPI Number: | 1023074002 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | C-8293 |
Business Practice Address: | 3100 Apache Dr Suite C1 Jonesboro, AR - 724017404 |
Business Phone Number: | 8709343533 |
Business Fax Number: | 8709106036 |
Mailing Address: | 3100 Apache Dr, Suite C1 JONESBORO |
State: | AR |
Postal Code: | 724017404 |
Phone Number: | 8709343533 |
Fax Number: | 8709106036 |
NPI Enumeration Date: | 04/26/2006 |
NPI Last Update Date: | 08/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | C-8293 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |