RYAN DAVID MALLORY MD
Individual Provider (NPI-1)
Active
Internal Medicine, Interventional Cardiology
Provider Information
- NPI Number
1548674096- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 2525 W UNIVERSITY AVE STE 300, MUNCIE, IN, 473033432
- Phone
- (765) 289-5420
- Fax
- (765) 281-2040
Specialties & Taxonomies
Internal Medicine, Interventional Cardiology
Primary License: KY #C1703
Internal Medicine, Cardiovascular Disease
License: IN #01076590A
Internal Medicine, Interventional Cardiology
License: IL #036166970
Student in an Organized Health Care Education/Training Program
License: IN #11017770A
All Addresses
MAILING
250 N SHADELAND AVE
INDIANAPOLIS, IN, 462194959