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1881646719
STEPHEN J MALLOTT
MARTINSBURG, WV
NPI
1881646719
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: WV 14916)
Enumeration Date
2006-05-17
Last Update Date
2013-02-11
Business Address
-- STEPHEN J MALLOTT MD
99 TAVERN RD
MARTINSBURG, WV 25401-2890
Phone number: 304-263-4999
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Mailing Address
-- STEPHEN J MALLOTT MD
PO BOX 1146
MARTINSBURG, WV 25402-1146
Phone number: 304-263-4999
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