Organization
NEUROLOGY INC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN A. MALONE M.D. (PRESIDENT)
(573) 449-2141
Entity
Organization
Contact information
Practice address
525 N. KEENE STREET, SUITE 301, COLUMBIA, MO 65201
(573) 449-2141
(573) 875-2328
Mailing address
525 N. KEENE STREET, SUITE 301, COLUMBIA, MO 65201
(573) 449-2141
(573) 875-2328
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
502476104
—
MO
Enumeration date
10/26/2006
Last updated
10/07/2014
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