Individual
ROBERT S MALS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 DR MARTIN LUTHER KING JR AVE NE, ALBUQUERQUE, NM 87102-3619
(505) 298-0301
(505) 323-5203
Mailing address
PO BOX 4934, ALBUQUERQUE, NM 87196-4934
(505) 298-0301
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
20030403
NM
2085R0202X
Diagnostic Radiology Physician
Primary
20030403
NM
2085R0204X
Vascular & Interventional Radiology Physician
20030403
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
95579753
—
NM
Enumeration date
07/26/2006
Last updated
07/14/2016
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