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Individual

ROBERT J MALLORY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSPH, MPAS, PA-C

Contact information

Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103-9000
(858) 246-1597
(858) 228-5153
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA16538
CA

Other

Enumeration date
05/04/2006
Last updated
04/27/2018
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