Individual
DR. JUSTIN SCOTT MALENKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2001 W 86TH ST, INDIANAPOLIS, IN 46260-1902
(317) 614-9850
(800) 731-0751
Mailing address
PO BOX 7232, INDIANAPOLIS, IN 46207-7232
(317) 614-9850
(800) 731-0751
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01070661A
IN
Other
Enumeration date
05/29/2009
Last updated
05/09/2013
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