Individual
DR. JOHN MALLOY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
123 S 27TH ST, BILLINGS, MT 59101-4200
(406) 247-3350
Mailing address
24 GOLD PAN LN, BILLINGS, MT 59105-1610
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4839
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0057579
—
MT
Enumeration date
09/22/2005
Last updated
07/08/2007
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