Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MALLORY KOULA, MD
Active Sole ProprietorMALLORY KOULA, MD is a Family Medicine healthcare provider located in MISSOULA, Montana. NPI 1467987727 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · MISSOULA, MT
Registration Details
- NPI Number
- 1467987727
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 25, 2017 (9.3367188892594 yrs)
- Last Updated
- Sep 27, 2022
- Licenses
-
10983218-1205 (UT)MED-PHYS-LIC-114887 (MT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3075 N RESERVE ST STE QMISSOULA, MT, 598081390Browse MT providers · Browse ZIP 59808
- Phone
- 4063271850
- Fax
- 4063271875
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in MISSOULA, MT
| Name | Credential | NPI |
|---|---|---|
| KENDRA B. LEE | M.D. | 1982600359 |
| DR. NERISSA KOEHN | MD | 1104825728 |
| DR. JOHN BERNARD MILLER | MD | 1588663827 |
| REBECCA B HOOVER | MD | 1972502003 |
| MRS. HEATHER E MADDOX | M.D. | 1578558094 |
| RODNEY GLEN HEATON | D.O. | 1861463689 |
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.