Individual
MR. DONALD RAY MALONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13680 N 1100 E, ODON, IN 47562-5583
(812) 444-9530
Mailing address
13680 N 1100 E, ODON, IN 47562-5583
(812) 444-9530
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201024320A
—
IN
Enumeration date
10/17/2011
Last updated
10/17/2011
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