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Bruce Mallatt, M.D
NPI 1831173921 · on the registry since 2005 · sole proprietor
Practice
- Address
- 700 Willow St
Suite 203
Vincennes, IN 47591 - Phone
- (812) 886-4572
- Fax
- (812) 886-6571
- Organisation at this address
- Rafael Lao, M.D.
Renal Life Link Inc
Total Renal Care Inc
Vincennes Medical Corp
Good Samaritan HospitalInferred from a shared address, not stated in the registry. - Clinicians at this address
- 14
Registry record
- Primary taxonomy
- Dermatology Physician
207N00000X
- Also registered as
- Procedural Dermatology Physician
MOHS-Micrographic Surgery Physician
Dermatopathology Physician - Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-01-06
- Status
- Not present in the most recent federal file
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 Indiana