Organization
MALLORY OSTEOPATHIC FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK LAWRENCE MALLORY DO (PHYSICIAN OWNER)
(970) 669-9245
Entity
Organization
Contact information
Practice address
1548 N BOISE AVENUE, LOVELAND, CO 80538-4125
(970) 669-9245
(970) 669-9247
Mailing address
1548 N BOISE AVENUE, LOVELAND, CO 80538-4125
(970) 669-9245
(970) 669-9247
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
40960
CO
Other
Enumeration date
12/01/2006
Last updated
01/11/2008
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