Individual
DR. VICTORIA MALLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1300 FORTINO BLVD, PUEBLO, CO 81008-2077
(719) 404-5100
Mailing address
4651 CHARLOTTE PARK DR STE 300, CHARLOTTE, NC 28217-1916
(866) 808-6005
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
39730
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20631561
—
CO
Enumeration date
06/27/2006
Last updated
01/26/2026
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