Individual
DR. NOAH A. MALAVOLTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1135 W LEE HWY, WYTHEVILLE, VA 24382-1525
(276) 227-0414
(276) 227-0416
Mailing address
3644 PIPERS GAP RD., GALAX, VA 24333
(276) 238-2471
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104555932
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
466815
PROVIDER NUMBER
VA
Enumeration date
10/02/2006
Last updated
07/08/2007
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