David F Mallavia, OD

NPI #1215969019 in Page, Arizona

Provider Information

NPI Number: 1215969019
Entity Type: Individual
Name: David F Mallavia, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Jul 6, 2006
Last Updated: Feb 4, 2020

Practice Location

Address: 420 N NAVAJO DR
City: Page
State: Arizona
ZIP Code: 86040-0950
Phone: (928) 645-2772

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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Organizations

Provider Name	Specialty	City
Mallavia Od PC	Optometrist	Page	AI Deep Dive

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