Individual provider · Type 1 NPI
Timothy James Mullally, DO
Sports Medicine (Family Medicine) Physician · Crown Point, IN
Practice location
11275 Delaware Pkwy
Crown Point, IN 46307-7812
Fax (877) 715-2312
Mailing address
PO Box 108
Crown Point, IN 46308-0108
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Sports Medicine (Family Medicine) Physician Primary | 207QS0010X | 02003099A (IN) |
| Family Medicine Physician | 207Q00000X | 02003099A (IN) |
Sports Medicine (Family Medicine) Physician: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomecha…
4 other providers at this address
- John Peter Kern Iii, PA-CPhysician Assistant Crown Point, IN NPI 1598366155
- Kunteera Tarin, MDInternal Medicine Physician Crown Point, IN NPI 1740411305
- Lauren ParkerFamily Nurse Practitioner Crown Point, IN NPI 1538517990
- Lisa Denise Mullally, DOFamily Medicine Physician Crown Point, IN NPI 1861462012
About NPI 1366462046
Timothy James Mullally, DO's National Provider Identifier is 1366462046, issued on Jul 19, 2006. The primary taxonomy on file is Sports Medicine (Family Medicine) Physician (207QS0010X), and the practice location is in Crown Point, IN. The record was last updated on Mar 25, 2019.