Dr. Mitchell Robert Mally, D.C.
Chiropractor in Davenport, IA. Individual provider (NPI-1).
NPI number1790786358
StatusActive
Last updated in NPPESJul 23, 2018
Details
- NPI
- 1790786358
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mitchell Robert Mally
- Credential
- D.C.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 4, 2005
- Last updated
- Jul 23, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 04853 | IA | Yes |
Practice location
3400 Dexter Ct Ste 105Davenport, IA 52807
Phone 563-823-5555 · Fax 563-823-5556
Mailing address
3400 Dexter Ct Ste 105Davenport, IA 52807-3462
Phone 563-823-5555 · Fax 563-823-5556
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