Individual
DR. DANIEL P MALLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3333 BURNET AVE, CINCINNATI, OH 45229-3026
(513) 636-4415
(513) 636-7805
Mailing address
3333 BURNET AVE, CINCINNATI, OH 45229-3026
(513) 636-4415
(513) 636-7805
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
253645
MA
208000000X
Pediatrics Physician
ML20008895
WA
2080P0206X
Pediatric Gastroenterology Physician
Primary
35.123310
OH
Other
Enumeration date
08/01/2007
Last updated
05/07/2014
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