Roger Lee Mallory in Colorado Springs - Nephrology
Roger Lee Mallory - NPI 1962488494
Roger Lee Mallory is a Nephrology in Colorado Springs, Colorado. Roger Lee Mallory practices all healthcare services and medical treatments related to Nephrology. The NPI Number for Roger Lee Mallory is 1962488494. The last update date is 2016-02-11.
Roger Lee Mallory's current location address is 1914 Lelaray St, Colorado Springs, Colorado. You can contact this provider via phone number 7196327641 and fax number 7196322925. The mailing address for Roger Lee Mallory is 1914 Lelaray St, Colorado Springs, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Roger Lee Mallory |
|---|---|
| Address | 1914 Lelaray St, Colorado Springs, Colorado |
| Phone Number | 7196327641 |
| Fax Number | 7196322925 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1962488494 |
|---|---|
| Provider Enumeration Date | 2005-12-16 |
| Last Updated Date | 2016-02-11 |
Provider Mailing Address Detail
| Address | 1914 Lelaray St |
|---|---|
| City | Colorado Springs |
| State | Colorado (CO) |
| Post Code | 809092800 |
| Phone Number | 7196327641 |
| Fax Number | 7196322925 |
Provider's Primary Taxonomy Detail
| Speciality | Nephrology |
|---|---|
| Taxonomy | 207Rn0300X |
| Licence No | 39036 |
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Definition: An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 37275038 | CO | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Roger Lee Mallory?
The Roger Lee Mallory has been issued the NPI (National Provider Identifier) 1962488494 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Roger Lee Mallory is physically located?
The Roger Lee Mallory is situated at the following address: 1914 Lelaray St, Colorado Springs, CO 809092800.
What is Roger Lee Mallory's area of expertise and its corresponding taxonomy classification?
The Roger Lee Mallory's field of specialization is Nephrology, and it falls under the taxonomy code 207Rn0300X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1962488494 to Roger Lee Mallory?
The Centers for Medicare & Medicaid Services assigned the 1962488494 to Roger Lee Mallory on 2005-12-16.
As of what date was the information regarding Roger Lee Mallory, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Roger Lee Mallory, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2016-02-11.