Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mark A Mallory, MD

Individual provider Gastroenterology Physician · NPI 1336116888

Dr. Mark A Mallory, MD is a Gastroenterology in Boise, Idaho. Graduated from Duke University School of Medicine in 1997, 29 years ago. Practices with Digestive Health Clinic LLC, a 25-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
29
Trained at
Duke University School of Medicine
Licensed in
ID
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6259 W Emerald St
Boise, ID 83704-8731
Phone: (208) 489-1900
Fax: (208) 375-5286
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence M8780 (ID)

Record details

NPI number1336116888
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 3, 2006
Last updated in NPPESSeptember 7, 2007
Mailing address6259 W Emerald St, Boise, ID 83704-8731

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGASTROENTEROLOGY
Medical schoolDUKE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1997 (29 years in practice)
Group practice Digestive Health Clinic Llc — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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