MRS. Autumn Nicole Malliard, PA-C

NPI #1003659020 in Du Bois, Pennsylvania

Provider Information

NPI Number: 1003659020
Entity Type: Individual
Name: MRS. Autumn Nicole Malliard, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jun 17, 2024
Last Updated: Feb 3, 2025

Practice Location

Address: 145 HOSPITAL AVE STE 300
City: Du Bois
State: Pennsylvania
ZIP Code: 15801-1465
Phone: (814) 375-2040

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Surgical — Surgical	363AS0400X
Physician Assistant	363A00000X	Primary

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