KONSTANTIN ROMAN MALLEY

FRESNO, CA
NPI1932661105
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: CA  A177632)
Additional Taxonomies207R00000X Internal Medicine
(Licence: NV  22613)
208M00000X Hospitalist
(Licence: NV  22613)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-04-04
Last Update Date2024-10-24
Business Address
KONSTANTIN ROMAN MALLEY
7355 N PALM AVE STE 100
FRESNO, CA 93711-5770
Phone number: 559-271-6301
Mailing Address
KONSTANTIN ROMAN MALLEY
PO BOX 28949
FRESNO, CA 93729-8949
Phone number: 559-228-5400