Dr. Alexander David Malloy
Surgeon General Practice Physician Surgical Critical Care
325 9th Ave
Seattle
, Washington 98104-2420
Dr. Alexander David Malloy
Surgeon General Practice Physician Surgical Critical Care
325 9th Ave
Seattle
, Washington 98104-2420
(206) 520-5700
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About
Features
Specialties
- Surgeon
- Surgical Critical Care
- General Practice Physician
Languages spoken
- English
Location
First Address
- Dr. Alexander David Malloy
- Po Box 50095
- Seattle, WA
- Zip : 98145-5095
- Phone : (206) 520-5700
Second Address
- Dr. Alexander David Malloy
- 325 9th Ave
- Seattle, WA
- Zip : 98104-2420
- Phone : (206) 520-5000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208200000X | Surgeon | DOS-1605 | HI |
| N | 208600000X | Surgeon | DOS-1605 | HI |
| Y | 2086S0102X | Surgical Critical Care | OP61134169 | WA |
| N | 208D00000X | General Practice Physician | DOS-1605 | HI |
National Provider Identifier
| NPI | 1174886824 |
|---|---|
| Provider Name | Dr. Alexander David Malloy |
| First Address | Seattle, WA 98145-5095 |
| Second Address | Seattle, WA 98104-2420 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/06/2012 |
| Last Update Date | 03/05/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1174886824 | (05) | WA |
| VAD000 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.