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Contact Information

MALLORI M WILSON
U.S. NAVAL HOSPITAL GUAM
AGANA HEIGHTS, GU96910
 Phone: 671-344-9340
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for MALLORI M WILSON · (Female)

NPI # 1174154553
Status Active
Credentials
Entity Individual
Enumeration date 02/04/2020
Last updated 06/09/2025 - About 12 months ago
Sole proprietor 1 No
Identifiers
  • GU License # M-2478
  • VA License # 0101273537
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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