Individual
MICHAEL F MALIZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2901 TRANSPORT ST SE, ALBUQUERQUE, NM 87106-4382
(505) 262-7724
(505) 262-5697
Mailing address
PO BOX 26028, ALBUQUERQUE, NM 87125-6028
(505) 232-1617
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
20040156
NM
207LP2900X
Pain Medicine (Anesthesiology) Physician
K8318
TX
208VP0014X
Interventional Pain Medicine Physician
Primary
20040156
NM
208VP0014X
Interventional Pain Medicine Physician
R8318
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
85338257
—
NM
Enumeration date
07/26/2006
Last updated
07/21/2020
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