Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CLINTON MALLARI, MD
Active Sole ProprietorDR. CLINTON MALLARI, MD is a Pain Medicine (PM&R) healthcare provider located in BOISE, Idaho. NPI 1154345585 is currently active in the NPPES registry. Verify at CMS.
Pain Medicine (PM&R) · BOISE, ID
Registration Details
- NPI Number
- 1154345585
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 27, 2006 (20.086565515201 yrs)
- Last Updated
- Jul 9, 2007
- License
-
M6287 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
115 W MAIN STSUITE 102BOISE, ID, 837027302Browse ID providers · Browse ZIP 83702
- Phone
- 2083424700
- Fax
- 2083424710
- Primary Specialty
-
Pain Medicine (PM&R)
2081P2900X
Other Pain Medicine (PM&R) Providers in BOISE, ID
| Name | Credential | NPI |
|---|---|---|
| DR. DANIEL RICHARD MARSH | MD | 1356377535 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.