Doctor Name: | DR. MARSHALL P. MALLORY |
NPI Number: | 1083620447 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 12378 |
Business Practice Address: | 20 Indian Pine Trce W Gadsden, AL - 359017240 |
Business Phone Number: | 8883188900 |
Business Fax Number: | 4083709131 |
Mailing Address: | Po Box 320757, LOS GATOS |
State: | CA |
Postal Code: | 950320112 |
Phone Number: | 8883188900 |
Fax Number: | 4083709131 |
NPI Enumeration Date: | 07/31/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | 12378 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
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. |