# STEPHEN M MALOFF MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417155284
- **Authorized official:** STEPHEN M MALOFF MD (PHYSICIAN)
- **Authorized official phone:** (208) 232-5550

## Contact information

- **Practice address:** 1950 E CLARK STREET, SUITE A, POCATELLO, ID 83205
- **Practice address phone:** (208) 232-5550
- **Practice address fax:** (208) 232-5553
- **Mailing address:** PO BOX 4948, 1950 E CLARK STREET SUITE A, POCATELLO, ID 83205
- **Mailing address phone:** (208) 232-5550
- **Mailing address fax:** (208) 232-5553

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2082S0099X | Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician | M3508 | ID | Yes |

## Other

- **Enumeration date:** 07/03/2007
- **Last updated:** 08/22/2020