Individual
DR. ANDREW G MALCOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501 WASHINGTON ST, STE 510, SAN DIEGO, CA 92103-2231
(619) 819-6577
Mailing address
8400 MIRAMAR RD, 200, SAN DIEGO, CA 92126-4387
(858) 564-1400
(858) 564-1500
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A31071
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A310710
—
CA
Enumeration date
05/15/2006
Last updated
05/07/2008
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