Dr MALLORY GAIL CROWNOVER is a female medical professional, specializing in Nurse Practitioner. She graduated in 2016 from University Of Florida College Of Medicine.
PRAXIS MEDICAL GROUP INC
1445 WILLAMETTE ST
SUITE 1
EUGENE
OR
974014087
Tel: 5414310000
| Npi | 1700390721 |
| Pac Id | 1052672565 |
| Professional Enrollment Id | I20180226001189 |
| Last Name | CROWNOVER |
| First Name | MALLORY |
| Middle Name | GAIL |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
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| Organization Legal Name | PRAXIS MEDICAL GROUP INC |
| Group Practice Pac Id | 8325941446 |
| Number Of Group Practice Members | 133 |
| Line 1 Street Address | 1445 WILLAMETTE ST |
| Line 2 Street Address | SUITE 1 |
| Marker Of Address Line 2 Suppression | |
| City | EUGENE |
| State | OR |
| Zip Code | 974014087 |
| Phone Number | 5414310000 |
| Hospital Affiliation Ccn 1 | 380020 |
| Hospital Affiliation Lbn 1 | MCKENZIE-WILLAMETTE MEDICAL CENTER |
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| Professional Accepts Medicare Assignment | Y |
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