| Dr Johanna T Mallare, MD | |
|
108 W Tyler Ave, West Memphis, AR 72301-4221 | |
| (870) 732-1191 | |
| (870) 732-4091 |
| Full Name | Dr Johanna T Mallare |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 108 W Tyler Ave, West Memphis, Arkansas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821055278 | NPI | - | NPPES |
| 142052001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | E2442 (Arkansas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Johanna T Mallare, MD 108 W Tyler Ave, West Memphis, AR 72301-4221 Ph: (870) 732-1191 | Dr Johanna T Mallare, MD 108 W Tyler Ave, West Memphis, AR 72301-4221 Ph: (870) 732-1191 |
Dr. James Langston Cowan Iii, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 900 N 7th St, West Memphis, AR 72301 Phone: 870-735-3842 | |
Ayesha Saeed Shah, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 108 W Tyler Ave, West Memphis, AR 72301 Phone: 870-732-1191 Fax: 870-732-4091 | |
Yaser Alsaek, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 228 W Tyler Ave, Suite 304, West Memphis, AR 72301 Phone: 870-733-5437 Fax: 870-733-5440 | |
Mrs. Lindsay Jeanne Lawrence, ECDS Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1600 Avondale Cir, West Memphis, AR 72301 Phone: 870-733-9950 Fax: 870-733-9966 | |
Bryauna Lewis Duncombe, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 900 N 7th St, West Memphis, AR 72301 Phone: 870-735-3842 | |
Morgan Elizabeth Patterson, ECDS Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1600 Avondale Cir, West Memphis, AR 72301 Phone: 870-733-9950 | |
Douglas Turner Campbell, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 108 W Tyler Ave, West Memphis, AR 72301 Phone: 870-732-1191 Fax: 870-732-4091 |