# DR. ALEXANDER DAVID MALLOY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1174886824
- **Gender:** Man
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | DOS-1605 | HI | — |
| 2086S0102X | Surgical Critical Care Physician | OC-0411 | ID | — |
| 2086S0127X | Trauma Surgery Physician | OP61134169 | WA | Yes |
| 208D00000X | General Practice Physician | DOS-1605 | HI | — |

## Other

- **Enumeration date:** 06/18/2012
- **Last updated:** 10/24/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1174886824 | — | WA |