Individual
MRS. MALLORY MARIE DOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8405 N PIMA CENTER PKWY STE 101, SCOTTSDALE, AZ 85258-4669
(602) 648-5444
Mailing address
PO BOX 80217, PHOENIX, AZ 85060-0217
(602) 385-2115
(480) 422-6551
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5547
AZ
363AS0400X
Surgical Physician Assistant
5547
AZ
Other
Enumeration date
10/15/2013
Last updated
07/29/2022
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