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Dr. Clinton Mallari

Pain Medicine

115 W Main St Suite 102
Boise , Idaho 83702-7302

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Image

Dr. Clinton Mallari

Pain Medicine

115 W Main St Suite 102
Boise , Idaho 83702-7302

(208) 342-4710

Write a Review Save Call

Dr. Clinton Mallari

Pain Medicine

115 W Main St Suite 102
Boise , Idaho 83702-7302

(208) 342-4710 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Pain Medicine

Languages spoken

  • English

Location

115 W Main St Suite 102 Boise , Idaho 83702-7302

First Address

  • Dr. Clinton Mallari
  • 115 W Main St Suite 102
  • Boise, ID
  • Zip : 83702-7302
  • Fax : (208) 342-4710
  • Phone : (208) 342-4700

Second Address

  • Dr. Clinton Mallari
  • 115 W Main St Suite 102
  • Boise, ID
  • Zip : 83702-7302
  • Fax : (208) 342-4710
  • Phone : (208) 342-4700

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FAQs


Where did Dr. Clinton Mallari attend graduate school?

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Where did Dr. Clinton Mallari do his residency?

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Where did Dr. Clinton Mallari do his fellowship?

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Is Dr. Clinton Mallari board certified?

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What type of doctor is Dr. Clinton Mallari

Pain Medicine

In what state does Dr. Clinton Mallari practice in?

Idaho

Where is Dr. Clinton Mallari ’s practice located?

115 W Main St Suite 102 , Boise, Idaho, 83702-7302

What is Dr. Clinton Mallari ’s gender?

Male

Is Dr. Clinton Mallari a sole practitioner?

No

Is Dr. Clinton Mallari accepting new patients?

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What languages does Dr. Clinton Mallari speak?

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Does Dr. Clinton Mallari accept insurance?

Yes, Dr. Clinton Mallari accepts insurance

Does Dr. Clinton Mallari offers telemedicine?

Dr. Clinton Mallari has not indicated if he offers telemedicine

What is Dr. Clinton Mallari ’s professional license number?

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What is Dr. Clinton Mallari ’s NPI number?

1154345585

Does Dr. Clinton Mallari have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 2081P2900X Pain Medicine M6287 ID

National Provider Identifier

NPI 1154345585
Provider Name Dr. Clinton Mallari
First Address Boise, ID 83702-7302
Second Address Boise, ID 83702-7302
Gender M
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 27/07/2006
Last Update Date 09/07/2007

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
B48394 (02) ID

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
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?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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