Most Relevant Information
Provider Data
| NPI Number: | 1003031410 |
| Provider Name: | AMY JOANN MCMULLEN |
| Entity Type: | Individual |
| Taxonomy Code: | 2471N0900X |
| Specialty: | Radiologic Technologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/13/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
4100 W 3RD ST
DAYTON
OH
454289000
Practice Location Phone/Fax
| Phone: | 9372686511 |
| Fax: | 9372675372 |
Provider Mailing Location
8389 HAWKS NEST CT
CENTERVILLE
OH
45458
Provider Mailing Phone/Fax
| Phone: | 9372686511 |
| Fax: | 9372675372 |