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Individual

RYAN J MALONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
101 HOSPITAL BLVD, JEFFERSONVILLE, IN 47130-3769
(812) 282-3899
(812) 282-4172
Mailing address
101 HOSPITAL BLVD, JEFFERSONVILLE, IN 47130
(812) 282-3899
(812) 282-3899

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
01064001A
IN
208800000X
Urology Physician
Primary
41147
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200914790
IN
05
7100027750
KY
01
P00473245
RAILROAD MEDICARE
KY
01
P00895268
RAILROAD MEDICARE
KY
Enumeration date
04/24/2006
Last updated
03/24/2017
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