| Mallory Family Wellness, Llc | |
|
1548 Boise Ave Loveland CO 80538-4215 | |
| (970) 669-9245 | |
| (970) 669-9247 |
| Full Name | Mallory Family Wellness, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1548 Boise Ave, Loveland, Colorado |
| Authorized Official Name and Position | Patrick Lawrence Mallory (OWNER/PHYSICIAN) |
| Authorized Official Contact | 97066699245 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mallory Family Wellness, Llc 1548 Boise Ave Loveland CO 80538-4215 Ph: (970) 669-9245 | Mallory Family Wellness, Llc 1548 Boise Ave Loveland CO 80538-4215 Ph: (970) 669-9245 |
| NPI Number | 1801132576 |
|---|---|
| Provider Enumeration Date | 12/27/2012 |
| Last Update Date | 12/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801132576 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 40960 (Colorado) | Primary |
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