Individual
IAN GRANT MALCOLM
Active
Individual
IAN GRANT MALCOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
8704
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00124237
—
MS
01
—
16-00152
UNITED HEALTHCARE
AL
01
—
51504313
BCBS
AL
01
—
51533244
BCBS
AL
Enumeration date
05/20/2006
Last updated
07/08/2007
Update your record
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