Nancy Mallory, MD

NPI #1083665129 in Eagle, Idaho

Provider Information

NPI Number: 1083665129
Entity Type: Individual
Name: Nancy Mallory, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: May 13, 2006
Last Updated: Jan 23, 2008

Practice Location

Address: 435 S EAGLE RD
City: Eagle
State: Idaho
ZIP Code: 83616-6067
Phone: (208) 939-8200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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