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Ryan David Mallory, MD
Cardiovascular Disease Physician in Muncie, Indiana
NPI 1548674096

Ryan David Mallory is a Cardiovascular Disease Physician based in Indianapolis, IN and is specialized in Cardiovascular Disease. Ryan David Mallory practices in Muncie, IN and has the professional credentials of MD. The NPI Number for Ryan David Mallory is 1548674096 and holds a License No. 11017770A (Indiana).

The current practice location address for Ryan David Mallory is 2525 W University Ave Ste 300, Muncie, IN and can be reached out via phone at 765-289-5420 and via fax at 765-281-2040.

Location: 2525 W University Ave Ste 300, Muncie, IN, 46219-4959
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548674096
Provider Name
Ryan David Mallory
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2525 W University Ave Ste 300, Muncie, IN, 46219-4959
Phone Number
765-289-5420
Fax Number
765-281-2040
Provider Enumeration Date
06/12/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2525 W University Ave Ste 300
City
Muncie
State
Indiana
Zip
47303-3432
Phone Number
765-289-5420
Fax Number
765-281-2040
person
Provider Business Mailing Address Details
Address
2525 W University Ave Ste 300
City
Muncie
State
Indiana
Zip
47303-3432
Phone Number
765-289-5420
Fax Number
765-281-2040
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
207RC0000X
License No.
01076590A (Indiana)
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
11017770A (Indiana)
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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