Individual
JOHN T MALLERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.R.N.A.
Contact information
Practice address
4320 SEMINARY RD, DEPARTMENT OF ANESTHESIA, ALEXANDRIA, VA 22304-1535
(703) 504-3789
(703) 295-9369
Mailing address
3998 FAIR RIDGE DR, SUITE 320, FAIRFAX, VA 22033-2907
(703) 295-9360
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024170473
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1558613828
NPI
VA
Enumeration date
10/10/2012
Last updated
11/06/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us