Individual provider · NPI-1
Gregory William Mallek, M.D.
Obstetrics & Gynecology · Mount Vernon, WA
NPI number1003012303
StatusActive
Last updated in NPPESOct 31, 2025
Details
- NPI
- 1003012303
- Entity type
- Individual (NPI-1)
- Name
- Gregory William Mallek
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 23, 2007
- Certification date
- Oct 31, 2025
- Last updated
- Oct 31, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | MD60902474 | WA | Yes |
| 208M00000X | Hospitalist | MD60902474 | WA |
Practice location
1400 E Kincaid StMount Vernon, WA 98274-4127
Phone 360-428-2575 · Fax 360-428-6471
Mailing address
1400 E Kincaid StMount Vernon, WA 98274-4127
Other practice locations
400 S 43rd St
Renton, WA 98055-5714
Renton, WA 98055-5714
Phone 425-690-1000
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