Mallory E Wauthier, D.O. is a general practice in Bradenton, FL with 11 years of experience. Mallory E Wauthier, D.O. NPI is 1164861522. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
Education
Medical School: LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduation Year:2013
The provider's business location address is:
206 2ND ST E
BRADENTON, FL
ZIP 34208-042
Phone: (941) 745-7257
The NPI 1164861522 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 6/19/2013 and was last updated on 6/19/2013.