Elisa Mullikin, PHYSICIAN ASSISTANT

NPI #1871958249 in Mancos, Colorado

Provider Information

NPI Number: 1871958249
Entity Type: Individual
Name: Elisa Mullikin, PHYSICIAN ASSISTANT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PHYSICIAN ASSISTANT
Enumeration Date: Dec 29, 2015
Last Updated: Jan 10, 2020

Practice Location

Address: 39863 HIGHWAY 184
City: Mancos
State: Colorado
ZIP Code: 81328-9033
Phone: (970) 946-3386

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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