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Individual

DR. RICKY MALONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6900 GEORGIA AVE NW, WASHINGTON, WASHINGTON, DC 20307-5001
(202) 782-8030
Mailing address
15000 POTOMAC TOWN PL STE 100-234, WOODBRIDGE, VA 22191-6586
(571) 766-6520

Taxonomy

Speciality
Code
Description
License number
State
2083A0100X
Aerospace Medicine Physician
H0595
TX
2083X0100X
Occupational Medicine Physician
0101259568
VA
2084F0202X
Forensic Psychiatry Physician
Primary
0101259568
VA
2084P0800X
Psychiatry Physician
H0595
TX

Other

Enumeration date
12/15/2005
Last updated
03/23/2020
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