Dr. Susan L Mallory
M.D. | Pediatrics | Female
Dr. Susan L Mallory, M.D. is a Paradise, California based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Susan L Mallory is
6480 Pentz Rd, Suite E, Paradise, California - 95969-3672. She can be contacted on phone at
530-877-5437 and fax number 530-877-5692.
Dr. Susan L Mallory is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Susan L Mallory is
1730107400 which was assigned by NPPES on 18 Jul, 2006 and it was last updated on 09 May, 2011.
Dr. Susan L Mallory license number is
G78212 for Pediatrics (208000000X) in California.
Dr. Susan L Mallory 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. Susan L Mallory basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Susan L Mallory |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Dr. Susan 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 : | 6480 Pentz Rd, Suite E
Paradise, CA, 95969-3672
United States |
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| Phone Number : | 530-877-5437 |
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| Fax Number : | 530-877-5692 |
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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 : | 1730107400 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 18 Jul, 2006 |
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| Last Updated On : | 09 May, 2011 |
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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. Susan L Mallory are as mentioned. Primary taxonomy code for Dr. Susan L Mallory, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | G78212 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Susan L Mallory such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| ZZZ01920Z | Other | CA | BLUE SHIELD |
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 : | 6470 Pentz Rd, Suite A
Paradise, CA, 95969-3674
United States |
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| Phone Number : | 530-872-6650 |
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| Fax Number : | 530-872-6653 |
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Business Location:
Patients can refer following map for directions to
Dr. Susan 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. Last updated on 08 January, 2024.