Mallory, Samantha L.
Mallory, Samantha L. is an individual health care provider with primary practice located at 1215 Pleasant St Ste 514 , Des Moines IA 50309-1418. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology. Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology is her primary health care specialty. Mallory, Samantha L. can be contacted via phone (515) 241-8912.Contact Information
Primary practice address
1215 Pleasant St Ste 514
Des Moines IA 50309-1418
Phone: (515) 241-8912
Fax: (515) 241-8988
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 27050 | Oklahoma |
| Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology | 2080P0207X | MD-43466 | Iowa |
Profile Details
| NPI number | 1336375369 |
|---|---|
| LBN Legal business name | Mallory, Samantha L. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 4th, 2009 |
| Last updated | Jul 12th, 2016 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336375369 | NPPES |
| Iowa | MEDICAID | 1336375369 |
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