MALLORY EDWARDS, PA-C
Physician Assistant
Active
Individual
NPI: 1467876409
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 017372 (NY) |
Frequently Asked Questions
NPI 1467876409 is the National Provider Identifier for MALLORY EDWARDS, PA-C, a Physician Assistant provider located in Granville, NY. This NPI was enumerated on February 11, 2014.
MALLORY EDWARDS, PA-C practices at 79 NORTH ST, Granville, NY 12832.
Quick Facts
- NPI
- 1467876409
- Type
- Individual
- Enumerated
- Feb 11, 2014
- Last Updated
- Apr 22, 2024
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