Individual
BRIAN PATRICK MALONE
Active
Individual
BRIAN PATRICK MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT, ATC
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2113
AK
225100000X
Physical Therapist
2632
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39995
BLUECROSS BLUESHIELD
NE
01
—
P00677677
MEDICARE RAILROAD
NE
Enumeration date
05/23/2007
Last updated
03/24/2010
Update your record
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