Individual
ANDREW MALCOMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
2789 E STATE ST, SALEM, OH 44460-9327
(234) 575-0112
Mailing address
304 W 5TH ST, EAST LIVERPOOL, OH 43920-2836
(330) 383-7933
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.0036355
OH
Other
Enumeration date
08/06/2024
Last updated
08/06/2024
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