Bruce Douglas Mallatt in Vincennes - Mohs-micrographic Surgery
Bruce Douglas Mallatt - NPI 1831173921
Bruce Douglas Mallatt is a Mohs-micrographic Surgery in Vincennes, Indiana. Bruce Douglas Mallatt practices all healthcare services and medical treatments related to Mohs-micrographic Surgery. The NPI Number for Bruce Douglas Mallatt is 1831173921. The last update date is 2010-01-06.
Bruce Douglas Mallatt's current location address is 700 Willow St, Vincennes, Indiana. You can contact this provider via phone number 8128864572 and fax number 8128866571. The mailing address for Bruce Douglas Mallatt is 700 Willow St, Vincennes, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce Douglas Mallatt |
|---|---|
| Address | 700 Willow St, Vincennes, Indiana |
| Phone Number | 8128864572 |
| Fax Number | 8128866571 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1831173921 |
|---|---|
| Provider Enumeration Date | 2005-12-01 |
| Last Updated Date | 2010-01-06 |
Provider Mailing Address Detail
| Address | 700 Willow St |
|---|---|
| City | Vincennes |
| State | Indiana (IN) |
| Post Code | 475911028 |
| Phone Number | 8128864572 |
| Fax Number | 8128866571 |
Provider's Primary Taxonomy Detail
| Speciality | Mohs-micrographic Surgery |
|---|---|
| Taxonomy | 207Nd0101X |
| Licence No | 1027539 |
|
Definition: The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100154760A | IN | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Bruce Douglas Mallatt by the Centers for Medicare & Medicaid Services?
The Bruce Douglas Mallatt has been issued the NPI (National Provider Identifier) 1831173921. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Bruce Douglas Mallatt is located?
The Bruce Douglas Mallatt is situated at the following address: 700 Willow St, Vincennes, IN, 475911028.
What is the area of specialization for Bruce Douglas Mallatt, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Bruce Douglas Mallatt is Mohs-micrographic Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 207Nd0101X.
On what date was the 1831173921 assigned to Bruce Douglas Mallatt?
The Bruce Douglas Mallatt was issued its 1831173921 on 2005-12-01, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Bruce Douglas Mallatt's details last updated?
The information pertaining to the Bruce Douglas Mallatt, including its address, specialty, and other details, was most recently updated on 2010-01-06.
NPI Number: 1396748448
Address: 100 Metropolitan Drive Associated Medical Professionals, Liverpool, NY
NPI Number: 1952304982
Address: 310 Lafayette Ave Se Ste 410, Grand Rapids, MI
NPI Number: 1699778829
Address: 1200 Oakleaf Way, Altoona, WI