MEDICARE: MALLORY FISCHER PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AM0700X	Medical Physician Assistant	1217079	VA

General Provider Information

NPI Number	:	1477363497
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MALLORY FISCHER PA-C

Provider Business Mailing Address
First Line	:	1775 N SECTOR CT
Second Line	:
City	:	WINCHESTER
State	:	VA
Zip	:	22601-2859
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1775 N SECTOR CT
Second Line	:
City	:	WINCHESTER
State	:	VA
Zip	:	22601-2859
Country	:	US
Telephone Number	:	540-542-6208
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/11/2025
Last Update Date	:	02/19/2026

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Directions to “ MALLORY FISCHER PA-C” Practice Location

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