Individual
DR. TOYA VENETTA MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7730 W CHEYENNE AVE STE 107, LAS VEGAS, NV 89129-8412
(725) 221-1568
(725) 333-9218
Mailing address
7730 W CHEYENNE AVE STE 107, LAS VEGAS, NV 89129-8412
(725) 221-1568
(725) 333-9218
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
4301088006
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417961137
BCBSM - BRONSON
MI
05
—
1720297799
—
MI
Enumeration date
05/22/2007
Last updated
04/23/2024
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