Individual
MALCOLM BRADLEY LAWTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
751 S BASCOM AVE, P.M&R DEPARTMENT, SAN JOSE, CA 95128-2604
(408) 885-2032
Mailing address
751 S BASCOM AVE, SAN JOSE, CA 95128-2604
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
G45350
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G453500
—
CA
Enumeration date
04/25/2006
Last updated
07/13/2007
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