Individual
DR. MARK J. MALLOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6929 JFK BLVD STE 108, NORTH LITTLE ROCK, AR 72116-5312
(501) 235-8295
Mailing address
PO BOX 22389, PMB 82739, NASHVILLE, TN 37202
(866) 315-2626
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C-5547
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100927001
—
AR
Enumeration date
07/10/2006
Last updated
02/05/2025
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