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Mallori Wilson — NPI 1174154553, Agana Heights, GU | NPI Central

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NPI 1174154553

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Mallori Wilson

NPI 1174154553 · Emergency Medicine Physician · Agana Heights, GU

Provider details

NPI number: 1174154553
Entity type: Individual
Primary specialty: Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
Sex: Female
Sole proprietor: No
License: M-2478 (GU)

Specialties & taxonomies

Emergency Medicine PhysicianPrimary207P00000XLicense 0101273537 (VA)
Allopathic & Osteopathic Physicians
Emergency Medicine Physician207P00000XLicense M-2478 (GU)
Allopathic & Osteopathic Physicians

Practice location

U.S. Naval Hospital Guam

Agana Heights, GU 96910

Phone: (671) 344-9340

More GU providers

Mailing address

Psc 455 Box 208

Fpo, AP 96540-0003

Additional practice locations (1)

620 John Paul Jones Cir
Portsmouth, VA 23708-2111
Phone: (757) 953-0669

Registry dates

Enumerated: 2020-02-04
Last updated: 2025-06-09
Certified: 2025-06-09

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.