Organization
STEPHEN M MALOFF MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN M MALOFF MD (PHYSICIAN)
(208) 232-5550
Entity
Organization
Contact information
Practice address
1950 E CLARK STREET, SUITE A, POCATELLO, ID 83205
(208) 232-5550
(208) 232-5553
Mailing address
PO BOX 4948, 1950 E CLARK STREET SUITE A, POCATELLO, ID 83205
(208) 232-5550
(208) 232-5553
Taxonomy
Speciality
Code
Description
License number
State
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
Primary
M3508
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D03833100
—
ID
Enumeration date
07/03/2007
Last updated
08/22/2020
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