Most Relevant Information
Provider Data
| NPI Number: | 1003819947 |
| Provider Name: | MARK J MALLEY MD |
| Entity Type: | Individual |
| Taxonomy Code: | 2085R0202X |
| Specialty: | Radiology |
| License Number: | 36717 |
Most Important Dates
| Enumeration Date: | 05/24/2005 |
| Last Updated: | 06/13/2016 |
Provider Practice Location
630 NW ENGLEWOOD RD
KANSAS CITY
MO
641183973
Practice Location Phone/Fax
| Phone: | 8164532700 |
| Fax: | 8164539943 |
Provider Mailing Location
630 NW ENGLEWOOD RD
KANSAS CITY
MO
641183973
Provider Mailing Phone/Fax
| Phone: | 8164532700 |
| Fax: | 8164539943 |