IndividualActive
Clinton Mallari, MD
NPI 1154345585 · Pain Medicine (Physical Medicine & Rehabilitation) Physician · Boise, ID
Provider details
- NPI number
- 1154345585
- Entity type
- Individual
- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- M6287 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
115 W Main St
Suite 102
Boise, ID 83702-7302
Phone: (208) 342-4700
Fax: (208) 342-4710
Approximate (ZIP-level) locationGet directions
Mailing address
115 W Main St
Boise, ID 83702-7302
Registry dates
- Enumerated
- 2006-07-27
- Last updated
- 2007-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.