Individual
MALLORY HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-2766
Mailing address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-2766
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
01077750A
IN
Other
Enumeration date
03/27/2015
Last updated
02/21/2017
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