James Daniel Mallett PA-C

NPI 1356536783 - Family Medicine - 207Q00000X

NPI Details
NPI 1356536783
Gender Male
Enumeration Date 09/10/2007
Last Updated 09/10/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1 MEMORIAL DR
BRUCETON MILLS WV, 26525-9500, US
Phone (304) 379-2114
Fax
Business Location
104 BROOMSAGE RD
FAIRMONT WV, 26554-8730, US
Phone (304) 282-3460
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State West Virginia
License Number 01304
Remove 1356536783 NPI Number
 

According to our database, Mr. James Daniel Mallett PA-C NPI is 1356536783, taxonomy code is 207Q00000X and license number is 01304, license state is located at West Virginia. James Daniel Mallett PA-C physically located at 1 Memorial Dr, Bruceton Mills WV, 26525-9500. NPI Number James Daniel Mallett PA-C has the Individual type.

Sponsored links

1356536783 NPI number is provided on an as is basis without warranty of any kind. 1356536783 is maintained by the National Plan & Provider Enumeration System. The contents of James Daniel Mallett PA-C are for informational purposes only.