Individual
CHRISTOPHER MALLORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MRM-1803
ID
2085R0202X
Diagnostic Radiology Physician
Primary
0101282665
VA
2085R0202X
Diagnostic Radiology Physician
11901378-1205
UT
2085R0202X
Diagnostic Radiology Physician
5671863
ID
2085R0202X
Diagnostic Radiology Physician
MD70005052
WA
Other
Enumeration date
04/10/2019
Last updated
07/21/2026
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