Mallory Matheson

NPI #1235765306 in Norfolk, Virginia

Provider Information

NPI Number
1235765306
Entity Type
Individual
Name
Mallory Matheson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physician Assistant
Enumeration Date
Mar 20, 2020
Last Updated
Aug 23, 2020

Practice Location

Address
5900 LAKE WRIGHT DR
ZIP Code
23502-1871
Phone
(757) 466-8683

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program
Physician Assistant

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