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Individual

DR. DANIEL PAUL MALLETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
10259 SOUTH PARKER RD, SUITE 200, PARKER, CO 80134
(720) 670-0544
Mailing address
9897 AFTONWOOD ST, HIGHLANDS RANCH, CO 80126-8883
(720) 670-0544

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
650
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
84076313
CO
01
P00456938
RAILROAD MEDICARE
CO
Enumeration date
02/06/2006
Last updated
10/31/2011
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