MR. Bruce Douglas Mallatt, M.D.

NPI #1831173921 in Vincennes, Indiana

Provider Information

NPI Number: 1831173921
Entity Type: Individual
Name: MR. Bruce Douglas Mallatt, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dermatology
Credential: M.D.
Enumeration Date: Dec 1, 2005
Last Updated: Jan 6, 2010

Practice Location

Address: 700 WILLOW ST
Address 2: SUITE 203
City: Vincennes
State: Indiana
ZIP Code: 47591-1028
Phone: (812) 886-4572

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary
Dermatology - Procedural Dermatology — Procedural Dermatology	207NS0135X
Dermatology - MOHS-Micrographic Surgery — MOHS-Micrographic Surgery	207ND0101X
Dermatology - Dermatopathology — Dermatopathology	207ND0900X

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Organizations

Provider Name	Specialty	City
Morris Dermatology LLC	Dermatology	Vincennes	AI Deep Dive

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