Organization
MADONNA C MALLARI MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MADONNA C MALLARI MD (OWNER PROPRIETER)
(480) 945-8360
Entity
Organization
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
01/31/2007
Last updated
11/30/2007
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