Individual
DR. BRADFORD HEATH MALLORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-5377
Mailing address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-5377
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01056168A
IN
Other
Enumeration date
09/21/2005
Last updated
09/04/2025
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