George L Mallory

NPI 1033243407 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1033243407
Gender Male
Enumeration Date 03/15/2007
Last Updated 06/17/2013
Entity Type Individual
Active Over 9 years ago
Practice Location
1845 N FAIR OAKS AVE
PASADENA CA, 91103-1620, US
Phone (626) 296-8900
Fax
Business Location
1845 N FAIR OAKS AVE
SUITE 2600
PASADENA CA, 91103-1620, US
Phone (626) 296-8900
Fax
Toxanomy
Taxonomy Code 2084P0800X
License State California
License Number A16194
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According to our database, George L Mallory NPI is 1033243407, taxonomy code is 2084P0800X and license number is A16194, license state is located at California. George L Mallory physically located at 1845 N Fair Oaks Ave, Pasadena CA, 91103-1620. NPI Number George L Mallory has the Individual type.

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1033243407 NPI number is provided on an as is basis without warranty of any kind. 1033243407 is maintained by the National Plan & Provider Enumeration System. The contents of George L Mallory are for informational purposes only.