Individual
DONALD WALTER MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2402 W. PIERCE ST., SUITE 6E, CARLSBAD, NM 88220
(575) 628-0312
(575) 628-8015
Mailing address
2324 W. PIERCE ST., CARLSBAD, NM 88220
(575) 628-5051
(575) 887-0414
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
23602
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23602
OK LICENSE
OK
01
—
2868440001
DME MEDICARE
OK
01
—
611415200
FEDERAL WC-OW
OK
05
—
90179854
—
NM
05
—
MD100150330A
—
OK
01
—
P00345588
RAILROAD-MEDICARE
OK
Enumeration date
06/12/2006
Last updated
03/26/2012
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