Clinton Mallari (NPI# 1154345585, PAC ID# 3779481064) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL PAIN MANAGEMENT.
Nation Provider ID (NPI) | 1154345585 |
PAC ID by PECOS | 3779481064 |
Professional Enrollment ID | I20040110000127 |
Full Name | Clinton Mallari |
Address |
115 W Main St Suite 102 Boise ID 83702-7304 |
Gender | M |
Credential | MD |
Graduation Year | 1982 |
Primary Specialty | INTERVENTIONAL PAIN MANAGEMENT |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
115 W Main St, Suite 102, Boise, ID 83702-7304 |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
Street Address |
115 W MAIN ST SUITE 102 |
City | BOISE |
State | ID |
Zip | 83702-7304 |
Name | Specialty | Organization | Address |
---|---|---|---|
Daniel Marchant | Optometry | Grene Vision Group LLC | 115 W Main St, Anthony, KS 67003-2722 |
Mark A Reetz | Chiropractic | 115 W Main St, Manchester, IA 52057-1535 | |
Sarah T Wise | Optometry | Myeyedr Optometry of Pennsylvania LLC | 115 W Main St, Suite A, Trappe, PA 19426-2068 |
Michael Hrycko | Chiropractic | 115 W Main St, Mt Pleasant, PA 15666-2001 | |
Eric R Cerwonka | Psychologist, Clinical | 115 W Main St, Suite 9, Lafayette, LA 70501-6941 | |
Tressa M Malikkal | Optometry | Myeyedr Optometry of Pennsylvania LLC | 115 W Main St, Suite A, Trappe, PA 19426-2068 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kim Kutzner | Physical Therapy | Physical Therapy At Thrive, LLC | 2302 N Bogus Basin Rd, Suite C, Boise, ID 83702-1024 |
Stacey L Scanlan | Physical Therapy | Physical Therapy At Thrive, LLC | 2302 N Bogus Basin Rd, Suite C, Boise, ID 83702-1024 |
Jody Alison Thatcher Bullard | Physical Therapy | Physical Therapy At Thrive, LLC | 2302 N Bogus Basin Rd, Suite C, Boise, ID 83702-1024 |
Ali Lubbers | Physical Therapy | Physical Therapy At Thrive, LLC | 2302 N Bogus Basin Rd, Suite C, Boise, ID 83702-1024 |
David A Teed | Clinical Social Worker | 1407 N 13th St, Boise, ID 83702-3531 | |
Martha Ann Stacy | Psychologist, Clinical | 1718 W Jefferson St, Boise, ID 83702-3949 | |
Renee Ours Bild | Clinical Social Worker | 1718 W Jefferson St, Boise, ID 83702-3949 | |
Amber L Simonson | Optometry | Ada Vision Center Pa | 1926 W State St, Boise, ID 83702-3957 |
Todd Anthony Noble | Optometry | Ada Vision Center Pa | 1926 W State St, Boise, ID 83702-3957 |
Lauren M Huber | Optometry | Ada Vision Center Pa | 1926 W State St, Boise, ID 83702-3957 |
Find all physicians in zip 83702 |
City | BOISE |
Zip Code | 83702 |
Specialty | INTERVENTIONAL PAIN MANAGEMENT |
City + Specialty | BOISE + INTERVENTIONAL PAIN MANAGEMENT |
Please comment or provide details below to improve the information on Clinton Mallari.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.