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1336116888
MARK A MALLORY
BOISE, ID
NPI
1336116888
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RG0100X Internal Medicine, Gastroenterology
(Licence: ID M8780)
Enumeration Date
2006-03-03
Last Update Date
2007-09-07
Business Address
Dr. MARK A MALLORY M.D.
6259 W EMERALD ST
BOISE, ID 83704-8731
Phone number: 208-489-1900
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Mailing Address
Dr. MARK A MALLORY M.D.
6259 W EMERALD ST
BOISE, ID 83704-8731
Phone number: 208-489-1900
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