SearchIllinois103TC0700X

Donald Mullison

NPI 1386057925 · on the registry since 2014 · sole proprietor

Practice

Address
231 W Main St
Suite 1 West
Carbondale, IL 62901
Phone
(618) 203-2869
Clinicians at this address
6

Registry record

Primary taxonomy
103TC0700X
103TC0700X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-06-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois