Individual
DR. TROY JAMES MALCOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1925 MOUNTAIN VIEW AVE, LONGMONT, CO 80501-3128
(720) 718-8305
(303) 485-3377
Mailing address
1925 MOUNTAIN VIEW AVE, LONGMONT, CO 80501-3128
(720) 718-8305
(303) 485-3377
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
DR.0045740
CO
208800000X
Urology Physician
L998183
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07201222
—
CO
Enumeration date
04/23/2007
Last updated
05/22/2020
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