| Doctor Name: | ROBERT MALLEY |
| NPI Number: | 1164428769 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | C37071 |
| Business Practice Address: | 2 Scripps Dr Ste 110 Sacramento, CA - 958256207 |
| Business Phone Number: | 9169293393 |
| Business Fax Number: | 9169291827 |
| Mailing Address: | 1500 Expo Pkwy, SACRAMENTO |
| State: | CA |
| Postal Code: | 958154227 |
| Phone Number: | 9166468300 |
| Fax Number: | 9169204434 |
| NPI Enumeration Date: | 06/28/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | C37071 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |