Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRYAN R MULLIN, MD
ActiveAnatomic Pathology · SOUTH BOSTON, VA
Registration Details
- NPI Number
- 1700916475
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 6, 2007 (19.13685582225 yrs)
- Last Updated
- Jul 8, 2007
- License
-
0101053735 (VA)
Practice Information
- Address
-
2204 WILBORN AVEHALIFAX REGIONAL MEDICAL CENTERSOUTH BOSTON, VA, 24592Browse VA providers · Browse ZIP 24592
- Phone
- 4345173229
- Primary Specialty
-
Anatomic Pathology
207ZP0101X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.