Individual
MARTY P MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
400 E 5TH AVE, SPOKANE, WA 99202-1334
(509) 838-2531
Mailing address
358 N MAIN ST, COLVILLE, WA 99114-2310
(509) 684-1440
(509) 684-2745
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10005128
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8469082
—
WA
Enumeration date
11/22/2006
Last updated
01/29/2019
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