Individual
JOHN MICHAEL MALLEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2859 STATE ST STE 102, MEDFORD, OR 97504-8495
(248) 459-5290
Mailing address
2464 ARGONNE AVE, MEDFORD, OR 97504-8552
(248) 459-5290
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD174285
OR
208000000X
Pediatrics Physician
MD174285
OR
Other
Enumeration date
05/02/2011
Last updated
12/03/2015
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