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Individual

DR. MARSHALL P. MALLORY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
20 INDIAN PINE TRCE W, GADSDEN, AL 35901-7240
(888) 318-8900
(408) 370-9131
Mailing address
PO BOX 320757, LOS GATOS, CA 95032-0112
(888) 318-8900
(408) 370-9131

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
12378
AL
2085R0202X
Diagnostic Radiology Physician
244168
NY

Other

Enumeration date
07/31/2006
Last updated
02/08/2024
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