Provider Demographics
NPI:1467726190
Name:DOCTORS NEXT DOOR
Entity Type:Organization
Organization Name:DOCTORS NEXT DOOR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF ADVISOR SVCS
Authorized Official - Prefix:
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:L
Authorized Official - Last Name:MALLOW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-697-4696
Mailing Address - Street 1:955 S DELAWARE AVE
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65802-3319
Mailing Address - Country:US
Mailing Address - Phone:877-697-4696
Mailing Address - Fax:
Practice Address - Street 1:10801 LOCKWOOD DR
Practice Address - Street 2:STE 160
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20901-1556
Practice Address - Country:US
Practice Address - Phone:301-592-0885
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-27
Last Update Date:2012-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty