Mark A Mallory is a Gastroenterology in Boise, Idaho. Mark A Mallory practices all healthcare services and medical treatments related to Gastroenterology. The NPI Number for Mark A Mallory is 1336116888. The last update date is 2007-09-07.
Mark A Mallory's current location address is 6259 W Emerald St, Boise, Idaho. You can contact this provider via phone number 2084891900 and fax number 2083755286. The mailing address for Mark A Mallory is 6259 W Emerald St, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark A Mallory |
|---|---|
| Address | 6259 W Emerald St, Boise, Idaho |
| Phone Number | 2084891900 |
| Fax Number | 2083755286 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1336116888 |
|---|---|
| Provider Enumeration Date | 2006-03-03 |
| Last Updated Date | 2007-09-07 |
Provider Mailing Address Detail
| Address | 6259 W Emerald St |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 837048731 |
| Phone Number | 2084891900 |
| Fax Number | 2083755286 |
Provider's Primary Taxonomy Detail
| Speciality | Gastroenterology |
|---|---|
| Taxonomy | 207Rg0100X |
| Licence No | M8780 |
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Definition: An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and perf |
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What is the unique identification code assigned to Mark A Mallory by the Centers for Medicare & Medicaid Services?
The Mark A Mallory has been issued the NPI (National Provider Identifier) 1336116888. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Mark A Mallory located?
The Mark A Mallory is located at 6259 W Emerald St, Boise, ID 837048731.
What is Mark A Mallory's area of expertise and its corresponding taxonomy classification?
The Mark A Mallory's field of specialization is Gastroenterology, and it falls under the taxonomy code 207Rg0100X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1336116888 to Mark A Mallory?
The Mark A Mallory received its 1336116888 assignment from the Centers for Medicare & Medicaid Services on 2006-03-03.
When was the information regarding Mark A Mallory most recently updated?
The details pertaining to the Mark A Mallory, including its address, specialty, and other relevant information, were last refreshed on 2007-09-07.