Mallory, Nancy

Mallory, Nancy is an individual health care provider with primary practice located at 435 S Eagle Rd , Eagle ID 83616-6067. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Mallory, Nancy can be contacted via phone (208) 939-8200.

Contact Information

Primary practice address
435 S Eagle Rd Eagle ID 83616-6067
Phone: (208) 939-8200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X M8876 Idaho

Profile Details

NPI number 1083665129
LBN Legal business name Mallory, Nancy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2006
Last updated Jan 23rd, 2008 - about 17 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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