Mallavia Od PC
NPI #1417169251 in Page, Arizona
Provider Information
- NPI Number
- 1417169251
- Entity Type
- Organization
- Organization Name
- Mallavia Od PC
- Primary Specialty
- Optometrist
- Enumeration Date
- May 4, 2007
- Last Updated
- Dec 31, 2007
Practice Location
Authorized Official
- Name
- DAVID F MALLAVIA, OD
- Title
- PRESIDENT
- Phone
- (928) 645-2772
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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