Individual provider · Type 1 NPI

Jerry C. Mallory Jr.

Military Health Care Provider · Apo, AA

NPI number 1447702154 Active

Practice location

4018 Bayard 44121
Apo, AA 44121

Call (216) 533-0094 Map

Mailing address

4018 Bayard, 4018 Bayard
Cleveland, OH 44121

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000XNone listed

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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About NPI 1447702154

Jerry C. Mallory Jr.'s National Provider Identifier is 1447702154, issued on Oct 28, 2016. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Apo, AA. The record was last updated on Oct 28, 2016.