Mallory Ruth Vild, MD
Student in an Organized Health Care Education/Training Program in Columbus, OH. Individual provider (NPI-1).
NPI number1497459150
StatusActive
Last updated in NPPESMay 17, 2023
Details
- NPI
- 1497459150
- Entity type
- Individual (NPI-1)
- Name
- Mallory Ruth Vild
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 28, 2023
- Certification date
- May 17, 2023
- Last updated
- May 17, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
3535 Olentangy River RdColumbus, OH 43214-3908
Phone 614-566-5000
Mailing address
3535 Olentangy River RdColumbus, OH 43214-3908
Phone 614-566-5000
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