Individual
DR. RONALD LEE MALM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
820 EAST 17TH STREET, CHEYENNE, WY 82001-4797
(307) 632-2434
(307) 634-9295
Mailing address
820 EAST 17TH STREET, CHEYENNE, WY 82001-4797
(307) 777-7911
(307) 638-3616
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5752A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080143307
RR MEDICARE
WY
05
—
110737200
—
WY
01
—
308136
BCBS
WY
Enumeration date
09/20/2006
Last updated
07/17/2023
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