John Mallory, is a
Student In An Organized Health Care Education/training Program based in Portsmouth, Virginia. John Mallory is licensed to practice in Virginia (license number ) and his current practice location is
Naval Medical Center Portsmouth, 620 John Paul Jones Circle, Portsmouth, Virginia. He can be reached at his office (for appointments etc.) via phone at
(757) 953-5259.
NPI number for John Mallory is 1891126678 and his current mailing address is 2460 S Vine St, Denver, Colorado. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1891126678.
Healthcare Provider's Profile
Full Name | John Mallory |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | Naval Medical Center Portsmouth, Portsmouth, Virginia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1891126678
- Provider Enumeration Date: 12/04/2013
- Last Update Date: 03/17/2018
Medical Identifiers
Medical identifiers for John Mallory such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1891126678 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (Colorado) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. John Mallory is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
John Mallory, 2460 S Vine St, Denver, CO 80208-0001 Ph: () - | John Mallory, Naval Medical Center Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA 23708-2111 Ph: (757) 953-5259 |
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