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Organization
SM MALOFF MD PC
Active
Organization
SM MALOFF MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN M MALOFF MD (OWNER)
(208) 239-0380
Entity
Organization
Contact information
Practice address
285 VISTA DR, POCATELLO, ID 83201-4987
(208) 239-0380
(208) 233-6983
Mailing address
444 HOSPITAL WAY STE 477, POCATELLO, ID 83201-2744
(208) 239-0380
(208) 233-6983
Taxonomy
Speciality
Code
Description
License number
State
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
Primary
M 3508
ID
Other
Enumeration date
10/03/2012
Last updated
10/03/2012
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