Mallory Jacob Walsh
NPI #1780151001 in Pembroke, New Hampshire
Provider Information
- NPI Number
- 1780151001
- Entity Type
- Individual
- Name
- Mallory Jacob Walsh
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Oct 24, 2018
- Last Updated
- Apr 18, 2019
Practice Location
- Address
- 100 MAIN ST APT 205
- City
- Pembroke
- State
- New Hampshire
- ZIP Code
- 03275-1241
- Phone
- (802) 274-8902
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Urgent Care — Urgent Care |
| Student in an Organized Health Care Education/Training Program |
| Physician Assistant |
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