DR. Shawn P Mallady, O.D.

NPI #1891772331 in Danville, Illinois

Provider Information

NPI Number: 1891772331
Entity Type: Individual
Name: DR. Shawn P Mallady, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Dec 27, 2005
Last Updated: Oct 9, 2014

Practice Location

Address: 1104 N VERMILION ST
City: Danville
State: Illinois
ZIP Code: 61832-3094
Phone: (217) 442-2631

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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