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Individual

MS. MARIAN CATHERINE MALONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PNP

Contact information

Practice address
1 CHILDRENS PL, DIV PED EMERGENCY MED, SAINT LOUIS, MO 63110-1002
(314) 454-2341
(314) 454-4345
Mailing address
PO BOX 60352, SAINT LOUIS, MO 63160-0352
(314) 454-2341
(314) 454-4345

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2001022887
MO
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
2001022887
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
427338306
MO
Enumeration date
04/23/2009
Last updated
04/25/2024
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