MR. Avi Meir Samuel Mallin, PA-C

NPI #1023342813 in Mesa, Arizona

Provider Information

NPI Number: 1023342813
Entity Type: Individual
Name: MR. Avi Meir Samuel Mallin, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Sep 25, 2009
Last Updated: Jan 13, 2015

Practice Location

Address: 6644 EAST BAYWOOD AVENUE
Address 2: BANNER BAYWOOD MEDICAL CENTER
City: Mesa
State: Arizona
ZIP Code: 85206
Phone: (480) 321-4740

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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