Individual
IDELLE J MALONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2045 FRANKLIN ST, DENVER, CO 80205-5437
(303) 764-5027
Mailing address
7017 SKUNK ALY, EVERGREEN, CO 80439-6833
(303) 670-5708
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
68205
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008279
KAISER-COMMERCIAL NUMBER
—
Enumeration date
02/27/2007
Last updated
11/08/2007
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