Individual
MRS. ELIZABETH L MALLOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
800 S 3RD ST, MONTROSE, CO 81401-4212
(801) 618-8858
Mailing address
16146 6740 RD, MONTROSE, CO 81401-7435
(801) 618-8858
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
92378
CO
Other
Enumeration date
01/23/2013
Last updated
11/25/2015
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