Individual
MARY E MALCOM
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
45 COLUMBIA ST, CARLISLE, IA 50047-7715
(515) 989-4143
Mailing address
45 COLUMBIA ST, CARLISLE, IA 50047-7715
(515) 989-4143
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
3459
IA
Other
Enumeration date
01/22/2006
Last updated
07/08/2007
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