Individual
MALLORY E WAUTHIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
9100 BABCOCK BLVD, PITTSBURGH, PA 15237-5815
(941) 745-7257
Mailing address
4885 MCKNIGHT RD STE 279, PITTSBURGH, PA 15237-3400
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS018165
PA
Other
Enumeration date
06/19/2013
Last updated
11/12/2024
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