Individual provider · Type 1 NPI

Mallory Dameron, MD

Family Medicine Physician · Bloomsburg, PA

NPI number 1407434095 Active

Practice location

240 Mall Blvd
Bloomsburg, PA 17815-8306

Call (570) 784-8303 Map

Fax (570) 387-5030

Mailing address

2800 Clay Edwards Drive, Central Verification Office And Payer Enrollment
North Kansas City, MO 64116

Other practice locations

  • 6450 N Chatham Ave, Kansas City, MO 64151-2403 · (816) 741-5542

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000X2026035254 (MO)
Family Medicine Physician Primary 207Q00000XOS023989 (PA)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

27 other providers at this address

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About NPI 1407434095

Mallory Dameron, MD's National Provider Identifier is 1407434095, issued on Apr 1, 2021. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Bloomsburg, PA. The record was last updated on Aug 17, 2026.