Dr. Johanna T Mallare
MD | Pediatrics | Female
Dr. Johanna T Mallare, MD is a West Memphis, Arkansas based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Johanna T Mallare is
108 W Tyler Ave, West Memphis, Arkansas - 72301-4221. She can be contacted on phone at
870-732-1191 and fax number 870-732-4091.
Dr. Johanna T Mallare is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Johanna T Mallare is
1821055278 which was assigned by NPPES on 28 Apr, 2006 and it was last updated on 08 Oct, 2020.
Dr. Johanna T Mallare license number is
E2442 for Pediatrics (208000000X) in Arkansas.
Dr. Johanna T Mallare is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Johanna T Mallare basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Johanna T Mallare |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Dr. Johanna T Mallare address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 108 W Tyler Ave
West Memphis, AR, 72301-4221
United States |
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| Phone Number : | 870-732-1191 |
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| Fax Number : | 870-732-4091 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1821055278 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 28 Apr, 2006 |
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| Last Updated On : | 08 Oct, 2020 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Johanna T Mallare are as mentioned. Primary taxonomy code for Dr. Johanna T Mallare, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | E2442 | AR |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Johanna T Mallare such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 142052001 | MEDICAID | AR | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 108 W Tyler Ave
West Memphis, AR, 72301-4221
United States |
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| Phone Number : | 870-732-1191 |
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| Fax Number : | 870-732-4091 |
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Business Location:
Patients can refer following map for directions to
Dr. Johanna T Mallare practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.