NPI 1538577838

Josie Mallinckrodt, DVM

Practitioner Veterinarian Longmont, CO

Practice location

Address: 104 S Main St, Longmont, CO 80501-6216
Phone: (303) 678-8844

Registered specialties

Veterinarian Primary

Other Service Providers Taxonomy 174M00000X Licence VET.0008260 (CO)

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Registry record

NPI: 1538577838
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Jul 2014
Record last updated: 30 Jul 2014

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.