Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BRUCE DOUGLAS MALLATT, M.D.
Active Sole ProprietorDermatology · VINCENNES, IN
Registration Details
- NPI Number
- 1831173921
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 1, 2005 (20.388411107649 yrs)
- Last Updated
- Jan 6, 2010
- Licenses
-
01027539 (IN)01027539 (IN)01027539 (IN)01027539 (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
700 WILLOW STSUITE 203VINCENNES, IN, 475911028Browse IN providers · Browse ZIP 47591
- Phone
- 8128864572
- Fax
- 8128866571
- Primary Specialty
-
Dermatology
207N00000X
- Additional Specialty
- Procedural Dermatology
- Additional Specialty
- Obesity Medicine
- Additional Specialty
- Dermatopathology
Other Dermatology Providers in VINCENNES, IN
| Name | Credential | NPI |
|---|---|---|
| MINDI M. MORRIS | M.D. | 1306022470 |
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.