Individual
DR. MICHAEL O'MALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
751 LIBERTY ST, MEADVILLE, PA 16335
(814) 333-5144
(814) 373-2255
Mailing address
751 LIBERTY ST, MEADVILLE, PA 16335-2559
(814) 333-5144
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD051141L
PA
2085R0202X
Diagnostic Radiology Physician
MD25732
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3084726
—
TN
Enumeration date
01/05/2006
Last updated
03/07/2023
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