Doctor Name: | DR. MARK J MALLEY |
NPI Number: | 1003819947 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 04-22685 |
Business Practice Address: | 630 Nw Englewood Rd Kansas City, MO - 641183973 |
Business Phone Number: | 8164532700 |
Business Fax Number: | 8164539943 |
Mailing Address: | 630 Nw Englewood Rd, KANSAS CITY |
State: | MO |
Postal Code: | 641183973 |
Phone Number: | 8164532700 |
Fax Number: | 8164539943 |
NPI Enumeration Date: | 05/24/2005 |
NPI Last Update Date: | 06/13/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | 04-22685 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KS |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |