DR. Susan L Mallory, M.D.

NPI #1730107400 in Paradise, California

Provider Information

NPI Number: 1730107400
Entity Type: Individual
Name: DR. Susan L Mallory, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: M.D.
Enumeration Date: Jul 18, 2006
Last Updated: May 9, 2011

Practice Location

Address: 6480 PENTZ RD
Address 2: SUITE E
City: Paradise
State: California
ZIP Code: 95969-3672
Phone: (530) 877-5437

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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