Individual
DR. HAROLD MARTIN MALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3212 N WINDSONG DR STE 200, PRESCOTT VALLEY, AZ 86314-2255
(928) 583-1000
(866) 751-4157
Mailing address
3212 N WINDSONG DR STE 200, PRESCOTT VALLEY, AZ 86314-2255
(928) 583-1000
(866) 751-4157
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G7742
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000G77420
—
CA
05
—
420636
—
AZ
Enumeration date
10/26/2006
Last updated
01/31/2019
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