Individual
JASON ALEXANDER MALLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103-9000
(832) 407-2263
Mailing address
200 W ARBOR DR, SAN DIEGO, CA 92103-9000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A189449
CA
Other
Enumeration date
03/24/2020
Last updated
06/06/2024
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