Mark D Malone in Longmont - Physician Assistant
Mark D Malone - NPI 1164456984
Mark D Malone is a Physician Assistant in Longmont, Colorado. Mark D Malone practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Mark D Malone is 1164456984. The last update date is 2016-10-25.
Mark D Malone's current location address is 1925 Mountain View Ave, Longmont, Colorado. You can contact this provider via phone number 3037761234. The mailing address for Mark D Malone is 1925 Mountain View Ave, Longmont, Colorado. To know further, please read the information below!
Provider Profile Detail
Provider Name | Mark D Malone |
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Address | 1925 Mountain View Ave, Longmont, Colorado |
Phone Number | 3037761234 |
Fax Number | |
Sole Proprietor | N |
Credentials | PA |
NPI Number Detail
NPI Number | 1164456984 |
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Provider Enumeration Date | 2006-07-10 |
Last Updated Date | 2016-10-25 |
Provider Mailing Address Detail
Address | 1925 Mountain View Ave |
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City | Longmont |
State | Colorado (CO) |
Post Code | 805013128 |
Phone Number | 3037761234 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | PA.0002005 |
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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72328541 | CO | -- |
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What is the Mark D Malone's unique identification number?
The Mark D Malone has been assigned the NPI (National Provider Identifier) Number 1164456984 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Mark D Malone's physical address?
The Mark D Malone is physically located at 1925 Mountain View Ave, in the city of Longmont, CO, with the postal code 805013128.
What is the Mark D Malone's area of specialization and corresponding taxonomy classification?
The Mark D Malone's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
When did the Mark D Malone receive its 1164456984?
The Mark D Malone was issued its 1164456984 on 2006-07-10, which is the date when the organization was assigned this unique identifier.
When was the information related to Mark D Malone most recently updated or refreshed?
The details pertaining to the Mark D Malone, including its address, specialty, and other relevant information, were last updated or refreshed on 2016-10-25.
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