Individual
BARBARA S MALLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1001 E PRIMROSE ST, SPRINGFIELD, MO 65807-5155
(417) 875-3000
(417) 875-3063
Mailing address
PO BOX 9007, SPRINGFIELD, MO 65808-9007
(417) 875-3000
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
2006007766
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200940005
—
MO
Enumeration date
07/12/2006
Last updated
07/05/2012
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