Individual provider · Type 1 NPI
Jennifer Rebecca Malloy, PA-C
Surgical Physician Assistant · Campbell, CA
NPI number
1114008554
Active
Practice location
2255 S Bascom Ave, Suite 200
Campbell, CA 95008-7800
Fax (408) 871-2377
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | PA17849 (CA) |
Surgical Physician Assistant: Definition to come...
3 other providers at this address
Other surgical physician assistant providers in Campbell
About NPI 1114008554
Jennifer Rebecca Malloy, PA-C's National Provider Identifier is 1114008554, issued on Oct 18, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Campbell, CA. The record was last updated on Feb 26, 2010.