Individual
JILLIAN MALONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5452
(480) 301-8000
Mailing address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5452
(480) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R71977
AZ
208VP0000X
Pain Medicine Physician
Primary
44433
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R71977
TRAINING PERMIT
AZ
Enumeration date
06/29/2010
Last updated
09/10/2020
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