Koula, Mallory
Koula, Mallory is an sole proprietor health care provider with primary practice located at 3075 N Reserve St Ste Q , Missoula MT 59808-1390. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Koula, Mallory can be contacted via phone (406) 327-1850.Contact Information
Primary practice address
3075 N Reserve St Ste Q
Missoula MT 59808-1390
Phone: (406) 327-1850
Fax: (406) 327-1875
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 10983218-1205 | Utah |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MED-PHYS-LIC-114887 | Montana |
Profile Details
| NPI number | 1467987727 |
|---|---|
| LBN Legal business name | Koula, Mallory |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 25th, 2017 |
| Last updated | Sep 27th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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