Individual
DR. MARK L MAHLOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
625 SOUTH PINE, VALLEY, NE 68064
(402) 359-2277
(402) 359-5432
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
(402) 354-2100
(402) 354-2155
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20723
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144338872
—
IA
05
—
275064
—
NE
05
—
47068731761
—
NE
Enumeration date
08/25/2006
Last updated
01/03/2014
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