JORDAN MALLERY

FARGO, ND
NPI1356950752
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: ND  RL16719)
Enumeration Date2020-07-31
Last Update Date2020-07-31
Business Address
JORDAN MALLERY MD
5225 23RD AVE S
FARGO, ND 58104-7927
Phone number: 701-234-5933
Mailing Address
JORDAN MALLERY MD
5225 23RD AVE S
FARGO, ND 58104-7927
Phone number: 701-234-5933