Randy Dale Malan in Glen Carbon - Psychiatric
Randy Dale Malan - NPI 1407853609
Randy Dale Malan is a Psychiatric in Glen Carbon, Illinois. Randy Dale Malan practices all healthcare services and medical treatments related to Psychiatric. The NPI Number for Randy Dale Malan is 1407853609. The last update date is 2007-07-08.
Randy Dale Malan's current location address is 512 Huntington, Glen Carbon, Illinois. You can contact this provider via phone number 6182884520. The mailing address for Randy Dale Malan is 512 Huntington, Glen Carbon, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Randy Dale Malan |
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Address | 512 Huntington, Glen Carbon, Illinois |
Phone Number | 6182884520 |
Fax Number | |
Sole Proprietor | X |
Credentials | R.PH. |
NPI Number Detail
NPI Number | 1407853609 |
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Provider Enumeration Date | 2005-07-01 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 512 Huntington |
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City | Glen Carbon |
State | Illinois (IL) |
Post Code | 620341952 |
Phone Number | 6182884520 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Psychiatric |
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Taxonomy | 1835P1300X |
Definition: A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing care of patients with psychiatric illness by assessing and monitoring patients, recognizing drug-induced problems, and recommending appropriate treatment plans. |
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What is the Randy Dale Malan's 1407853609?
The Randy Dale Malan's NPI (National Provider Identifier) Number is 1407853609. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Randy Dale Malan is physically located?
The Randy Dale Malan is physically situated at the following address: 512 Huntington, Glen Carbon, IL, 620341952.
What is Randy Dale Malan's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Randy Dale Malan is Psychiatric, and the taxonomy code that classifies this field of practice is 1835P1300X.
On what date did the Randy Dale Malan receive the assignment of its 1407853609 from the Centers for Medicare & Medicaid Services?
The Randy Dale Malan was issued its 1407853609 by the Centers for Medicare & Medicaid Services on 2005-07-01.
When was the Randy Dale Malan's information last updated?
The Randy Dale Malan's information was last updated on 2007-07-08.