Individual provider · Type 1 NPI

Mallory Tobon, PA-C

Physician Assistant · Fairhope, AL

NPI number 1073062782 Active

Practice location

210 Greeno Rd N
Fairhope, AL 36532-2914

Mailing address

921 Cedar Lake Rd Ste E
Biloxi, MS 39532-2126

Other practice locations

  • 10719 Eastern Shore Blvd, Spanish Fort, AL 36527-6042 · (251) 270-0900

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA.1168 (AL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1073062782

Mallory Tobon, PA-C's National Provider Identifier is 1073062782, issued on Sep 23, 2016. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fairhope, AL. The record was last updated on Mar 31, 2026.