Individual
RICHARD M MALYSZEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2222 N NEVADA AVE STE 5017, COLORADO SPRINGS, CO 80907-6865
(719) 635-2501
(719) 632-1062
Mailing address
PO BOX 29048, MSC #830, PHOENIX, AZ 85038
(719) 635-2501
(719) 632-1062
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
45687
CO
2086S0127X
Trauma Surgery Physician
0045687
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32687559
—
CO
01
—
810245
MEDICARE ID
CO
Enumeration date
06/16/2006
Last updated
12/18/2018
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