Rodney James Malisos in Liberty - Family Medicine
Rodney James Malisos - NPI 1497753545
Rodney James Malisos is a Family Medicine in Liberty, Missouri. Rodney James Malisos practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Rodney James Malisos is 1497753545. The last update date is 2011-01-25.
Rodney James Malisos's current location address is 1504 Ne 96th St, Liberty, Missouri. You can contact this provider via phone number 8164152233 and fax number 8164152218. The mailing address for Rodney James Malisos is 1504 Ne 96th St, Liberty, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Rodney James Malisos |
|---|---|
| Address | 1504 Ne 96th St, Liberty, Missouri |
| Phone Number | 8164152233 |
| Fax Number | 8164152218 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1497753545 |
|---|---|
| Provider Enumeration Date | 2005-07-12 |
| Last Updated Date | 2011-01-25 |
Provider Mailing Address Detail
| Address | 1504 Ne 96th St |
|---|---|
| City | Liberty |
| State | Missouri (MO) |
| Post Code | 640681348 |
| Phone Number | 8164152233 |
| Fax Number | 8164152218 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 2000146367 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 205388101 | MO | -- | |
| 30006033 | BLUE CROSS BLUE SHIELD | ||
| 33106180464024A | TRIWEST |
Post Comment/ Review Below
What is the Rodney James Malisos's unique identification number?
The Rodney James Malisos has been assigned the NPI (National Provider Identifier) Number 1497753545 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Rodney James Malisos's physical address?
The Rodney James Malisos is physically located at 1504 Ne 96Th St, in the city of Liberty, MO, with the postal code 640681348.
What is Rodney James Malisos's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Rodney James Malisos is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.
On what date did Rodney James Malisos receive its 1497753545 assignment from the Centers for Medicare & Medicaid Services?
The Rodney James Malisos was assigned its 1497753545 on 2005-07-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Rodney James Malisos's details last updated?
The information pertaining to the Rodney James Malisos, including its address, specialty, and other details, was most recently updated on 2011-01-25.