Individual
ZACHARY MALLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 QUALITY DR, VACAVILLE, CA 95688-9494
(707) 624-4000
Mailing address
6620 COYLE AVE, SUITE 212, CARMICHAEL, CA 95608-6333
(916) 536-9455
(916) 536-9424
Taxonomy
Speciality
Code
Description
License number
State
207XX0801X
Orthopaedic Trauma Physician
Primary
A109177
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3972360427
—
CA
Enumeration date
06/18/2008
Last updated
12/15/2021
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