Individual
GREG MALONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1474 N MERIDIAN RD, KUNA, ID 83634-2041
(208) 809-2885
(208) 809-2886
Mailing address
PO BOX 191050, BOISE, ID 83719-1050
(208) 985-1399
(208) 955-6501
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/08/2016
Last updated
12/06/2021
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