DR. Clinton Mallari, MD

NPI #1154345585 in Boise, Idaho

Provider Information

NPI Number
1154345585
Entity Type
Individual
Name
DR. Clinton Mallari, MD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Medicine & Rehabilitation - Pain Medicine
Credential
MD
Enumeration Date
Jul 27, 2006
Last Updated
Jul 9, 2007

Practice Location

Address
115 W MAIN ST
Address 2
SUITE 102
City
Boise
State
Idaho
ZIP Code
83702-7302
Phone
(208) 342-4700

Specialties & Taxonomy Codes

Specialty
Physical Medicine & Rehabilitation - Pain MedicinePain Medicine

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