Individual
MALLORY NEBERGALL
Active
Individual
MALLORY NEBERGALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
ME157621
FL
207L00000X
Anesthesiology Physician
Primary
WO681
TX
207R00000X
Internal Medicine Physician
MD469326
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161402094
—
IL
Enumeration date
04/22/2016
Last updated
05/20/2026
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