NPI 1386677722

Cheryl a Mallory, MD

Practitioner Family Medicine Physician Lewiston, ID

Practice location

Address: 2315 8th St, Lewiston, ID 83501-7301
Phone: (208) 746-1383
Fax: (208) 746-6348

Registered specialties (2)

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence M-10915 (ID)

Other Family Medicine providers in Idaho →

Family Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence MD000637598 (WA)

Registry record

NPI: 1386677722
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Jul 2006
Record last updated: 18 Aug 2015

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.