Provider Demographics
NPI:1609866995
Name:MCMULLIN, NEIL (MD)
Entity Type:Individual
Prefix:DR
First Name:NEIL
Middle Name:
Last Name:MCMULLIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2695 ROCKY MOUNTAIN AVE STE 150
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538-9071
Mailing Address - Country:US
Mailing Address - Phone:970-624-4123
Mailing Address - Fax:970-490-4173
Practice Address - Street 1:1625 MEDICAL CENTER PT STE 220
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80907-5798
Practice Address - Country:US
Practice Address - Phone:719-364-5080
Practice Address - Fax:719-364-5081
Is Sole Proprietor?:No
Enumeration Date:2005-10-27
Last Update Date:2023-06-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXP89482086S0122X
NC2018-020562086S0122X, 2086S0122X
CODR.00713182086S0122X
NY3132692086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery