Matthew Layne Mallory, MD - Fayetteville, AR

Matthew Layne Mallory, MD

Radiation Oncology Physician in Fayetteville, Arkansas

NPI 1194145532

Matthew Layne Mallory is a Radiation Oncology Physician based in Fayetteville, AR and is specialized in Radiation Oncology. Matthew Layne Mallory practices in Fayetteville, AR and has the professional credentials of MD. The NPI Number for Matthew Layne Mallory is 1194145532 and holds a License No. 0442072 (Arkansas).

The current practice location address for Matthew Layne Mallory is 60 E Monte Painter Dr, Fayetteville, AR and can be reached out via phone at 479-587-1700 and via fax at 479-587-1366.

Location: 60 E Monte Painter Dr, Fayetteville, AR, 72703-3276

NPI Number

1194145532

Provider Name

Matthew Layne Mallory

Credential

Provider Entity Type

Individual

Gender

Male

Address

60 E Monte Painter Dr, Fayetteville, AR, 72703-3276

Phone Number

479-587-1700

Fax Number

479-587-1366

Provider Enumeration Date

04/24/2014

Last Update Date

10/19/2024

Identifier	Type	State	Issuer
200993230A	05	OK
269386001	05	AR

Address

60 E Monte Painter Dr

City

Fayetteville

State

Arkansas

Zip

72703-4014

Phone Number

479-587-1700

Fax Number

479-587-1366

Address

60 E Monte Painter Dr

City

Fayetteville

State

Arkansas

Zip

72703-4014

Phone Number

479-587-1700

Fax Number

479-587-1366

Type

Allopathic & Osteopathic Physicians

Classification

Radiology

Speciality

Radiation Oncology

Taxonomy

2085R0001X

License No.

2019024443 (Missouri)

Definition

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

Type

Student, Health Care

Classification

Student in an Organized Health Care Education/Training Program

Speciality

Taxonomy

390200000X

License No.

0442072 (Kansas)

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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