Basic Information
| Provider Information | |||||||||
| NPI: | 1871733949 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MULCAHY | ||||||||
| FirstName: | ALLISON | ||||||||
| MiddleName: | R | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 933 BRADBURY DR SE | ||||||||
| Address2: | SUITE 2222 | ||||||||
| City: | ALBUQUERQUE | ||||||||
| State: | NM | ||||||||
| PostalCode: | 871064374 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5052723120 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | UNM DEPARTMENT OF EMERGENCY MEDICINE | ||||||||
| Address2: | MSC 10 5560 1 UNIVERSITY OF NEW MEXICO | ||||||||
| City: | ALBUQUERQUE | ||||||||
| State: | NM | ||||||||
| PostalCode: | 871310001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5052725062 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/02/2009 | ||||||||
| LastUpdateDate: | 06/27/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | A103310 | CA | Y | Allopathic & Osteopathic Physicians | Emergency Medicine | 207P00000X | MD2012-0673 | NM | N | Allopathic & Osteopathic Physicians | Emergency Medicine | 207P00000X | 7192 | AK | N | Allopathic & Osteopathic Physicians | Emergency Medicine | 207P00000X | 7986492-1205 | UT | N | Allopathic & Osteopathic Physicians | Emergency Medicine | 207P00000X | 53881 | WY | N | Allopathic & Osteopathic Physicians | Emergency Medicine |
No ID Information.