Daniel H Mallory O.D.

NPI 1023012739 - Optometrist - 152W00000X

NPI Details
NPI 1023012739
Gender Male
Enumeration Date 06/09/2005
Last Updated 02/27/2008
Entity Type Individual
Active Over 11 years ago
Practice Location
1409 N NORMA ST
RIDGECREST CA, 93555-2510, US
Phone (760) 446-5555
Fax (790) 446-2905
Business Location
1409 N NORMA ST
RIDGECREST CA, 93555-2510, US
Phone (760) 446-5555
Fax (790) 446-2905
Toxanomy
Taxonomy Code 152W00000X
License State California
License Number OPT7267TLG
Remove 1023012739 NPI Number
 

According to our database, Dr. Daniel H Mallory O.D. NPI is 1023012739, taxonomy code is 152W00000X and license number is OPT7267TLG, license state is located at California. Daniel H Mallory O.D. physically located at 1409 N Norma St, Ridgecrest CA, 93555-2510. NPI Number Daniel H Mallory O.D. has the Individual type.

Sponsored links

1023012739 NPI number is provided on an as is basis without warranty of any kind. 1023012739 is maintained by the National Plan & Provider Enumeration System. The contents of Daniel H Mallory O.D. are for informational purposes only.