Individual
CARL MALITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1501 E 3RD ST, DELTA, CO 81416-2815
(970) 874-7681
Mailing address
PO BOX 10100, DELTA, CO 81416-0008
(970) 874-2470
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
30624
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01306240
—
CO
01
—
840428757014
ROCKY MOUNTAIN HEALTH PLA
CO
01
—
DE82504
BCBS
CO
Enumeration date
07/10/2006
Last updated
03/13/2008
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