NPI 1003624735

Mallory Sue Pine

Practitioner Student in an Organized Health Care Education/Training Program Indianapolis, IN

Practice location

Address: 340 W 10th St STE 6200, Indianapolis, IN 46202-3082
Phone: (314) 274-8157

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1003624735
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Dec 2024
Record last updated: 27 Dec 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.