Jerry C Mallory JR. - Apo, AA

Jerry C Mallory JR.

Military Health Care Provider in Apo, N/A

NPI 1447702154

Jerry C Mallory JR. is a Military Health Care Provider based in Cleveland, . Jerry C Mallory JR. practices in Apo, . The NPI Number for Jerry C Mallory JR. is 1447702154 and holds a License No. (N/A).

The current practice location address for Jerry C Mallory JR. is 4018 Bayard 44121, Apo, and can be reached out via phone at 216-533-0094.

Location: 4018 Bayard 44121, Apo, , 44121

NPI Number

1447702154

Provider Name

Jerry C Mallory JR.

Credential

Provider Entity Type

Individual

Gender

Male

Address

4018 Bayard 44121, Apo, , 44121

Phone Number

216-533-0094

Fax Number

Provider Enumeration Date

10/28/2016

Last Update Date

03/09/2024

Address

4018 Bayard 44121

City

Apo

State

Zip

44121

Phone Number

216-533-0094

Fax Number

Address

4018 Bayard 44121

City

Apo

State

Zip

44121

Phone Number

216-533-0094

Fax Number

Type

Other Service Providers

Classification

Military Health Care Provider

Speciality

Taxonomy

171000000X

License No.

(Ohio)

Definition

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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