Individual
ALLISON MAILLIARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7287 W RIDGE RD, FAIRVIEW, PA 16415-1130
(814) 877-2360
Mailing address
7287 W RIDGE RD, FAIRVIEW, PA 16415-1130
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS012057
PA
Other
Enumeration date
07/25/2006
Last updated
03/25/2021
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