Individual
MALLORY A FORSYTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
310 E COLLEGE DR, COLBY, KS 67701-3716
(785) 462-6184
(785) 460-1490
Mailing address
310 E COLLEGE DR, COLBY, KS 67701-3716
(785) 462-6184
(785) 460-1490
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-43382
KS
207Q00000X
Family Medicine Physician
MD-45478
IA
207Q00000X
Family Medicine Physician
R-10898
IA
Other
Enumeration date
06/06/2017
Last updated
10/07/2020
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