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Individual
DWIGHT WAYNE MALONE
Active
Individual
DWIGHT WAYNE MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G71749
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OOG717490
—
CA
Enumeration date
11/10/2006
Last updated
07/21/2021
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