Individual
DR. SHAUN MICHAEL MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
5143 W THUNDERBIRD RD, GLENDALE, AZ 85306-4836
(602) 942-2700
(602) 942-2701
Mailing address
6261 W LOUISE DR, GLENDALE, AZ 85310-4240
(602) 421-6111
(602) 942-2701
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6028
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1194982017
GROUP NPI
AZ
01
—
Z124212
MEDICARE GROUP PIN
AZ
Enumeration date
07/18/2006
Last updated
05/03/2016
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