| Mallory Osteopathic Family Practice | |
|
1548 N Boise Avenue Loveland CO 80538-4125 | |
| (970) 669-9245 | |
| (970) 669-9247 |
| Full Name | Mallory Osteopathic Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 1548 N Boise Avenue, Loveland, Colorado |
| Authorized Official Name and Position | Patrick Lawrence Mallory (PHYSICIAN OWNER) |
| Authorized Official Contact | 9706699245 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mallory Osteopathic Family Practice 1548 N Boise Avenue Loveland CO 80538-4125 Ph: (970) 669-9245 | Mallory Osteopathic Family Practice 1548 N Boise Avenue Loveland CO 80538-4125 Ph: (970) 669-9245 |
| NPI Number | 1619045473 |
|---|---|
| Provider Enumeration Date | 12/01/2006 |
| Last Update Date | 01/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619045473 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 40960 (Colorado) | Primary |
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