NPI 1336480565

John Michael Mallard, DVM

Practitioner Veterinarian Aurora, IL

Practice location

Address: 2600 W Galena Blvd, Aurora, IL 60506-9013
Phone: (630) 896-8541

Registered specialties

Veterinarian Primary

Other Service Providers Taxonomy 174M00000X Licence 090.010946 (IL)

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Registry record

NPI: 1336480565
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Mar 2013
Record last updated: 13 Mar 2013

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.