Samantha L. Mallory
MD | Pediatric Hematology-Oncology | Female
Samantha L. Mallory, MD is a Des Moines, Iowa based Pediatric doctor with medical specialization in
Pediatric Hematology-Oncology.
Current practice location of Samantha L. Mallory is
1215 Pleasant St Ste 514, Des Moines, Iowa - 50309-1418. She can be contacted on phone at
515-241-8912 and fax number 515-241-8988.
Samantha L. Mallory is a sole proprietor of her business.
NPI number (Unique professional ID) for Samantha L. Mallory is
1336375369 which was assigned by NPPES on 04 Jun, 2009 and it was last updated on 12 Jul, 2016.
Samantha L. Mallory license number is
MD-43466 for Pediatrics Pediatric Hematology-Oncology (2080P0207X) in Iowa.
Samantha L. Mallory is trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
Complete Profile:
Samantha L. Mallory basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Hematology-Oncology |
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| Provider Name : | Samantha L. Mallory |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Samantha L. Mallory 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 : | 1215 Pleasant St Ste 514
Des Moines, IA, 50309-1418
United States |
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| Phone Number : | 515-241-8912 |
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| Fax Number : | 515-241-8988 |
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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 : | 1336375369 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 04 Jun, 2009 |
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| Last Updated On : | 12 Jul, 2016 |
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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 Samantha L. Mallory are as mentioned. Primary taxonomy code for Samantha L. Mallory, MD is
2080P0207X (Pediatrics Pediatric Hematology-Oncology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 27050 | OK |
| 2080P0207X | Pediatrics Pediatric Hematology-Oncology | Yes | MD-43466 | IA |
Legacy Identifiers:
Other legacy medical identifiers of Samantha L. Mallory such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1336375369 | MEDICAID | IA | |
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 : | 1215 Pleasant St Ste 514
Des Moines, IA, 50309-1418
United States |
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| Phone Number : | 515-241-8912 |
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| Fax Number : | 515-241-8988 |
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Business Location:
Patients can refer following map for directions to
Samantha L. Mallory practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.