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Gary Mallit, PA
Medical Physician Assistant in San Diego, California
NPI 1043618549

Gary Mallit is a Medical Physician Assistant based in San Diego, CA and is specialized in Medical. Gary Mallit practices in San Diego, CA and has the professional credentials of PA. The NPI Number for Gary Mallit is 1043618549 and holds a License No. (California).

The current practice location address for Gary Mallit is 3520 3Rd Ave, San Diego, CA and can be reached out via phone at 619-955-5153.

Location: 3520 3Rd Ave, San Diego, CA, 92103-4933
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043618549
Provider Name
Gary Mallit
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
3520 3Rd Ave, San Diego, CA, 92103-4933
Phone Number
619-955-5153
Fax Number
Provider Enumeration Date
12/15/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3520 3Rd Ave
City
San Diego
State
California
Zip
92103-4933
Phone Number
619-955-5153
Fax Number
person
Provider Business Mailing Address Details
Address
3520 3Rd Ave
City
San Diego
State
California
Zip
92103-4933
Phone Number
619-955-5153
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
()
Definition
Definition to come...
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