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Mary-katharine Mcmullen, MD
Military Health Care Provider in Fairfield, California
NPI 1851091193

Mary-katharine Mcmullen is a Military Health Care Provider based in Fairfield, CA. Mary-katharine Mcmullen practices in Fairfield, CA and has the professional credentials of MD. The NPI Number for Mary-katharine Mcmullen is 1851091193 and holds a License No. (California).

The current practice location address for Mary-katharine Mcmullen is 101 Bodin Cir, Fairfield, CA and can be reached out via phone at 707-423-3000.

Location: 101 Bodin Cir, Fairfield, CA, 94535-1809
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851091193
Provider Name
Mary-katharine Mcmullen
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
101 Bodin Cir, Fairfield, CA, 94535-1809
Phone Number
707-423-3000
Fax Number
Provider Enumeration Date
03/06/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
101 Bodin Cir
City
Fairfield
State
California
Zip
94535-1809
Phone Number
707-423-3000
Fax Number
person
Provider Business Mailing Address Details
Address
101 Bodin Cir
City
Fairfield
State
California
Zip
94535-1809
Phone Number
707-423-3000
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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