Provider Demographics
NPI:1073583654
Name:MULLINS, CHRISTIAN LEE (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTIAN
Middle Name:LEE
Last Name:MULLINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17625 BUTTERCUP CIR
Mailing Address - Street 2:
Mailing Address - City:SONORA
Mailing Address - State:CA
Mailing Address - Zip Code:95370-9700
Mailing Address - Country:US
Mailing Address - Phone:209-536-0414
Mailing Address - Fax:
Practice Address - Street 1:SONORA REGIONAL MEDICAL CENTER EMERGENCY DEPT
Practice Address - Street 2:1000 GREENLEY RD
Practice Address - City:SONORA
Practice Address - State:CA
Practice Address - Zip Code:95370
Practice Address - Country:US
Practice Address - Phone:209-536-3460
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-25
Last Update Date:2013-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAGO62635207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine