Cheryl A Mallory, MD

NPI #1386677722 in Lewiston, Idaho

Provider Information

NPI Number: 1386677722
Entity Type: Individual
Name: Cheryl A Mallory, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Jul 9, 2006
Last Updated: Aug 18, 2015

Practice Location

Address: 2315 8TH ST
City: Lewiston
State: Idaho
ZIP Code: 83501-7301
Phone: (208) 746-1383

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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