Individual
DR. JOSEPH ROBERT MALLORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2331 FRANKLIN RD SW, ROANOKE, VA 24014-1111
(540) 224-5170
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
(540) 224-5715
(540) 224-5684
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
0101272249
VA
208100000X
Physical Medicine & Rehabilitation Physician
R4130
KY
208600000X
Surgery Physician
1232284
SC
Other
Enumeration date
06/24/2015
Last updated
06/14/2024
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