Dr DOMINIQUE L MALL MD is a female medical professional, specializing in Internal Medicine. She graduated in 1986.
HIGH DESERT NEPHROLOGY MEDICAL ASSOCIATION
655 S 7TH AVE
BARSTOW
CA
923113001
Tel: 7602563918
| Npi | 1821043423 |
| Pac Id | 1153395629 |
| Professional Enrollment Id | I20040820000778 |
| Last Name | MALL |
| First Name | DOMINIQUE |
| Middle Name | L |
| Suffix | |
| Gender | F |
| Credential | MD |
| Medical School Name | OTHER |
| Graduation Year | 1986 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialty 1 | NEPHROLOGY |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | NEPHROLOGY |
| Organization Legal Name | HIGH DESERT NEPHROLOGY MEDICAL ASSOCIATION |
| Group Practice Pac Id | 2860439288 |
| Number Of Group Practice Members | 5 |
| Line 1 Street Address | 655 S 7TH AVE |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | BARSTOW |
| State | CA |
| Zip Code | 923113001 |
| Phone Number | 7602563918 |
| Hospital Affiliation Ccn 1 | 050300 |
| Hospital Affiliation Lbn 1 | ST MARY MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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