Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mark Mulder, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1538457452

Mark Mulder, MD is a Student in an Organized Health Care Education/Training Program in Nellis AFB, Nevada. Licensed in Georgia. Registered with an NPI since 2011.

Licensed in
GA
In the registry since
2011
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4700 Las Vegas Blvd N
Nellis AFB, NV 89191-6600
Phone: (702) 653-2105
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 79940 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1538457452
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 12, 2011
Last updated in NPPESSeptember 21, 2022
Certification dateSeptember 21, 2022
Mailing address1825 Arrow Stone Ct, North Las Vegas, NV 89031-8101

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