MATTHEW LAYNE MALLORY M.D.
Individual Provider (NPI-1)
Active
Provider Information
- NPI Number
1194145532- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.D.
- Status
- Active
Contact & Location
- Address
- 60 E MONTE PAINTER DR, FAYETTEVILLE, AR, 727034014
- Phone
- (479) 587-1700
- Fax
- (479) 587-1366
Specialties & Taxonomies
Unknown
License: KS #0442072
Unknown
License: MO #2019024443
Student in an Organized Health Care Education/Training Program
Unknown
Primary License: AR #E-14474