Individual
RICHARD K MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
651 S CLARIZZ BLVD, BLOOMINGTON, IN 47401-5523
(812) 333-2304
(812) 330-2306
Mailing address
651 S CLARIZZ BLVD, BLOOMINGTON, IN 47401-5523
(812) 333-2304
(812) 330-2306
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01036275
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100068670
—
IN
Enumeration date
07/05/2005
Last updated
10/10/2024
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