Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DAVID F MALLAVIA, OD
ActiveDAVID F MALLAVIA, OD is a Optometrist healthcare provider located in PAGE, Arizona. NPI 1215969019 is currently active in the NPPES registry. Verify at CMS.
Optometrist · PAGE, AZ
Registration Details
- NPI Number
- 1215969019
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 6, 2006 (20.311223539366 yrs)
- Last Updated
- Feb 4, 2020
- License
-
1379 (AZ)
Practice Information
- Address
-
420 N NAVAJO DRPAGE, AZ, 860400950Browse AZ providers · Browse ZIP 86040
- Phone
- 9286452772
- Fax
- 9286459508
- Primary Specialty
-
Optometrist
152W00000X
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.