Mallavia OD PC
Mallavia OD PC is an Optometrist in Page, Arizona. Licensed in Arizona. Registered with an NPI since 2007.
- Licensed in
- AZ
- In the registry since
- 2007
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
124 Sixth Ave Box 1806Page, AZ 86040-1806
Phone: (928) 645-2772
Fax: (928) 645-9508
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Optometrist (primary) | Taxonomy 152W00000X · Licence 1379 (AZ) |
|---|
Record details
| NPI number | 1417169251 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | David Mallavia — President · (928) 645-2772 |
| NPI enumerated | May 4, 2007 |
| Last updated in NPPES | December 31, 2007 |
| Mailing address | Po Box 1806, 124 6 Ave, Page, AZ 86040-1806 |
Other providers in Page
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David F Mallavia, OD
420 N Navajo Dr, Page, AZ 86040-0950 · (928) 645-2772