Individual
TIMOTHY R MALLOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
(402) 559-7200
(402) 559-9344
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
(402) 559-7200
(402) 559-9344
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
17506
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17506
NE LICENSE
NE
Enumeration date
05/08/2006
Last updated
06/22/2011
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