Individual
WILLIAM JOHN MALLOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
111 S GRANT AVE, FL 3, COLUMBUS, OH 43215-4701
(614) 566-8808
(614) 566-9503
Mailing address
1299 OLENTANGY RIVER RD, STE 103, COLUMBUS, OH 43212-3135
(614) 566-4278
(614) 566-5424
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
NA-01538
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
RN-169856
OH
Other
Enumeration date
12/15/2005
Last updated
07/13/2026
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