Individual
MADONNA C MALLARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9953 N 95TH ST, SUITE 105, SCOTTSDALE, AZ 85258-4593
(480) 945-8360
(480) 945-4555
Mailing address
9953 N 95TH ST, SUITE 105, SCOTTSDALE, AZ 85258-4593
(480) 945-8360
(480) 945-4555
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
33207
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
883860
—
AZ
Enumeration date
01/17/2006
Last updated
01/04/2013
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