Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CRAIG MALLORY, PA-C
Active Sole ProprietorCRAIG MALLORY, PA-C is a Physician Assistant healthcare provider located in SOUTHFIELD, Michigan. NPI 1801329628 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · SOUTHFIELD, MI
Registration Details
- NPI Number
- 1801329628
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 8, 2017 (9.3428193788926 yrs)
- Last Updated
- Apr 8, 2017
- License
-
5601008170 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
16001 W 9 MILE RDSOUTHFIELD, MI, 480754818Browse MI providers · Browse ZIP 48075
- Phone
- 2488493137
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in SOUTHFIELD, MI
| Name | Credential | NPI |
|---|---|---|
| MICHELLE BAKER | PA | 1477557734 |
| ROGER JONATHAN ONG | PA | 1992704167 |
| KENNETH MARK WARDOWSKI | PA | 1831190305 |
| AMY G. CONNOLLY | PA-C | 1033106331 |
| MRS. KAREN JOY DANIEL | PHYSICIAN ASSISTANT | 1649242777 |
| LAINE WOODARD | PA-C | 1962455055 |
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.