Individual
DR. JACK DEMPSEY MALONE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1233 E 2ND ST, CASPER, WY 82601-2926
(307) 577-7201
Mailing address
1233 E 2ND ST, CASPER, WY 82601-2926
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
17310A
WY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
17310A
WY
207RP1001X
Pulmonary Disease Physician
Primary
17310A
WY
Other
Enumeration date
06/10/2018
Last updated
08/08/2024
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