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Contact Information

MALLORY T HARLING, MD
1450 E VALLEY RD STE 105
BASALT, CO81621-8352
 Phone: 970-927-1717
 Fax: 970-927-6164
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
 

Gynecology

207VG0400X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for MALLORY T HARLING · (Male)

NPI # 1154397685
Status Active
Credentials MD
Entity Individual
Enumeration date 02/24/2006
Last updated 03/06/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • CO License # 16141
  • CO Medicaid 01161413
  • Other 1609842145 GROUP NPI
  • Other 201467647 TAX ID
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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