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Search › Idaho › 2081P2900X

Clinton Mallari, MD

NPI 1154345585 · on the registry since 2006 · sole proprietor

Practice

Address
115 W Main St
Suite 102
Boise, ID 83702
Phone
(208) 342-4700
Fax
(208) 342-4710
Organisation at this address
Rebekah Guy
Beacon Pain Clinic
Idaho Ortho Spine, Pllc
Center For Pain Care P A
Ambulatory Surgery Center Of Boise
Inferred from a shared address, not stated in the registry.
Clinicians at this address
11

Registry record

Primary taxonomy
2081P2900X
2081P2900X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho