Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0106X | Oral and Maxillofacial Pathology | 6633 | KS |
NPI | 1841228715 |
---|---|
Provider Name | Dr. James Thomas Muller |
First Address | Manhattan, KS 66502-2770 |
Second Address | Manhattan, KS 66502-2770 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/06/2006 |
Last Update Date | 12/10/2007 |