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

Victor Theodore Mallory, PA-C

Individual provider Physician Assistant · NPI 1316545304

Victor Theodore Mallory, PA-C is a Physician Assistant in Danville, Pennsylvania. Works from 2 locations. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2020
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

100 N Academy Ave
Danville, PA 17822-9800
Phone: (570) 271-6211
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 160 E Erie Ave, Philadelphia, PA 19134-1011 — (215) 427-4820

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA061966 (PA)

Record details

NPI number1316545304
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 13, 2020
Last updated in NPPESNovember 14, 2024
Certification dateNovember 14, 2024

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