Dr. Mallory Lynn Davis, MD
Family Medicine in Des Moines, WA. Individual provider (NPI-1).
NPI number1508324005
StatusActive
Last updated in NPPESDec 11, 2024
Details
- NPI
- 1508324005
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mallory Lynn Davis
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 4, 2019
- Certification date
- Dec 11, 2024
- Last updated
- Dec 11, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | MD61199811 | WA | Yes |
Practice location
26401 Pacific Hwy S Ste 101Des Moines, WA 98198-9247
Phone 206-870-3590
Mailing address
325 W Gowe StKent, WA 98032-5892
Phone 253-833-7444
Other practice locations
600 S Paulina St Ste 403
Chicago, IL 60612-3806
Chicago, IL 60612-3806
Phone 317-697-8308
1701 18th Ave S
Seattle, WA 98144-4317
Seattle, WA 98144-4317
Phone 253-833-7444
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