DR. Vincent D Mallory, MD

NPI #1215918503 in Pineville, Louisiana

Provider Information

NPI Number
1215918503
Entity Type
Individual
Name
DR. Vincent D Mallory, MD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Family Medicine
Credential
MD
Enumeration Date
Nov 14, 2005
Last Updated
Oct 24, 2023

Practice Location

Address
2495 SHREVEPORT HWY
ZIP Code
71360-4044
Phone
(318) 466-2106

Specialties & Taxonomy Codes

Specialty
Family Medicine

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