Individual
SUSAN A MALINE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1441 N 12TH ST, PHOENIX, AZ 85006-2837
(602) 747-4577
Mailing address
111 W RIO SALADO PKWY, TEMPE, AZ 85281-2880
(480) 693-8466
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
18548
AZ
2083X0100X
Occupational Medicine Physician
Primary
18548
AZ
208D00000X
General Practice Physician
18548
AZ
Other
Enumeration date
05/04/2006
Last updated
09/11/2025
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