Individual
DR. PATRICK LAWRENCE MALLORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1548 N. BOISE AVE, LOVELAND, CO 80538-4215
(970) 669-9245
(970) 669-9247
Mailing address
1548 BOISE AVE, LOVELAND, CO 80538-4215
(970) 669-9245
(970) 669-9247
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
40960
CO
Other
Enumeration date
07/27/2006
Last updated
11/03/2011
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