Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOHANNA T MALLARE, MD
ActivePediatrics · WEST MEMPHIS, AR
Registration Details
- NPI Number
- 1821055278
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 28, 2006 (19.982768631813 yrs)
- Last Updated
- Oct 8, 2020
- License
-
E2442 (AR)
Practice Information
- Address
-
108 W TYLER AVEWEST MEMPHIS, AR, 723014221Browse AR providers · Browse ZIP 72301
- Phone
- 8707321191
- Fax
- 8707324091
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Providers in WEST MEMPHIS, AR
| Name | Credential | NPI |
|---|---|---|
| AYESHA SAEED SHAH | MD | 1225039308 |
| DAVID AARON GOODMAN | MD | 1922009026 |
| DOUGLAS TURNER CAMPBELL | MD | 1730180837 |
| YASER ALSAEK | M.D. | 1316155914 |
| YOUSEF SHADDOOD | MD | 1740500230 |
| BRYAUNA LEWIS DUNCOMBE | M.D. | 1619397809 |
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.