Individual
IOANNIS MALIDELIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2620 E PROSPECT RD, FORT COLLINS, CO 80525-9098
(970) 221-1106
Mailing address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
DR.0071191
CO
Other
Enumeration date
03/19/2019
Last updated
10/17/2023
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