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Contact Information

ROBERT B MULLAN, DPM
3851 E LOHMAN AVE STE 1
LAS CRUCES, NM88011-8296
 Phone: 575-993-5611
 Fax: 575-483-7224
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for ROBERT B MULLAN · (Male)

NPI Number 1033105812
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 09/27/2005
Last updated 11/09/2025 - About 7 months ago
Sole proprietor 1 No
Identifiers
  • NM License # 283
  • NM Medicaid 47183829
  • NM Other NM015A04 BC/BS
  • NM Other 74864 PRESBYTERIAN
  • NM Other P00062140 RR MEDICARE
Hospital affiliation(s)
  • MEMORIAL MEDICAL CENTER INC - (Acute Care)
    2450 SOUTH TELSHOR BLVD
    LAS CRUCES, NM 88011
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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