NPI 1073907929

Mallory Hamilton, MD

Practitioner General Practice Physician Nellis Afb, NV

Practice location

Address: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600
Phone: (702) 653-2766

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 01077750A (IN)

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Registry record

NPI: 1073907929
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Mar 2015
Record last updated: 21 Feb 2017

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.