Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 01080378A | IN |
N | 207X00000X | Orthopaedic Surgeon | 51537 | KY |
Y | 2082S0105X | Plastic Hand Surgeon | 01080378A | IN |
N | 2082S0105X | Plastic Hand Surgeon | 51537 | KY |
NPI | 1922394675 |
---|---|
Provider Name | Dr. Aaron Blake Mull |
First Address | Evansville, IN 47710-1739 |
Second Address | Evansville, IN 47710-1683 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2011 |
Last Update Date | 23/01/2020 |