Daina Mallard, PA-C

NPI #1114301975 in Zion, Illinois

Provider Information

NPI Number: 1114301975
Entity Type: Individual
Name: Daina Mallard, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jul 11, 2015
Last Updated: Jul 11, 2015

Practice Location

Address: 2520 ELISHA AVE
City: Zion
State: Illinois
ZIP Code: 60099-2676
Phone: (847) 872-6259

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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