Individual
DAVID MALIGRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
625 9TH AVE, STE 210, LONGVIEW, WA 98632-2465
(360) 501-3400
(360) 423-6862
Mailing address
625 9TH AVE, STE 210, LONGVIEW, WA 98632-2465
(360) 501-3400
(360) 423-6862
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10003539
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0198040
LABOR & INDUSTRIES
WA
05
—
8345068
—
WA
Enumeration date
05/10/2006
Last updated
07/25/2007
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