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Individual

DR. MARK J MALLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
630 NW ENGLEWOOD RD, KANSAS CITY, MO 64118-3973
(816) 453-2700
(816) 453-9943
Mailing address
630 NW ENGLEWOOD RD, KANSAS CITY, MO 64118-3973
(816) 453-2700
(816) 453-9943

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
04-22685
KS
2085R0202X
Diagnostic Radiology Physician
Primary
36717
MO

Other

Enumeration date
05/24/2005
Last updated
06/13/2016
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