HomeNPI Verification
NPI Verification
National Provider Identifier: 1487399309
Mallory Bagwell, DO
Individual Provider
Credentials
DO
Primary Specialty
Internal Medicine
Code: 207R00000X
Practice Address
PO BOX 9662
CONWAY, AR 720339662
Phone: 501-852-1363
NPI Enumeration Date
May 4, 2022
NPI Number
1487399309Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.
View on CMS NPPES Registry