Individual
MR. JUSTIN ALAN MALONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
54 HOSPITAL DRIVE, OSAGE BEACH, MO 65065
(573) 302-2714
(573) 302-2713
Mailing address
54 HOSPITAL DRIVE, OSAGE BEACH, MO 65065
(573) 302-2714
(573) 302-2713
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
2006001558
MO
2084N0400X
Neurology Physician
Primary
2006001558
MO
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
2006001558
MO
Other
Enumeration date
05/01/2007
Last updated
02/13/2025
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