Individual provider · Type 1 NPI

Mallori Marie Wilson

Emergency Medicine Physician · Agana Heights, GU

NPI number 1174154553 Active

Practice location

U.s. Naval Hospital Guam
Agana Heights, GU 96910

Mailing address

Psc 455 Box 208
Fpo, AP 96540-0003

Other practice locations

  • 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 · (757) 953-0669

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician 207P00000XM-2478 (GU)
Emergency Medicine Physician Primary 207P00000X0101273537 (VA)

Emergency Medicine Physician: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in respo…

39 other providers at this address

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About NPI 1174154553

Mallori Marie Wilson's National Provider Identifier is 1174154553, issued on Feb 4, 2020. The primary taxonomy on file is Emergency Medicine Physician (207P00000X), and the practice location is in Agana Heights, GU. The record was last updated on Jun 9, 2025.