Dr. Clinton Mallari, MD
Dr. Clinton Mallari, MD is an Interventional Pain Management in Boise, Idaho. Qualified in 1982, 44 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Idaho.
- Years since qualifying
- 44
- Licensed in
- ID
- In the registry since
- 2006
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
115 W Main St Ste 102Boise, ID 83702-7302
Phone: (208) 342-4700
Fax: (208) 342-4710
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pain Medicine (Physical Medicine & Rehabilitation) Physician (primary) | Taxonomy 2081P2900X · Licence M6287 (ID) |
|---|
Record details
| NPI number | 1154345585 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | July 27, 2006 |
| Last updated in NPPES | July 9, 2007 |
| Mailing address | 115 W Main St, Suite 102, Boise, ID 83702-7302 |
Medicare enrollment
| Medicare specialty | INTERVENTIONAL PAIN MANAGEMENT |
|---|---|
| Medical school | OTHER |
| Graduated | 1982 (44 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Boise
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Center for Pain Care P A
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