FANTA MALLARD, MEDICAL ASSISTANT

Independent Medical Examiner Physician · GARY, IN

Individual Active NPI 1598490013

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Independent Medical Examiner Physician202C00000XM6S9Q7R7IN
Ph.D. Medical Genetics170100000X
Driver172A00000X

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.