Individual
MICHAEL MALOUF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
74 S HIGHWAY 36, WESTON, ID 83286-5000
(208) 390-7843
Mailing address
PO BOX 2295, ASHEVILLE, NC 28802-2295
(828) 398-5244
(828) 360-3080
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
598527-1
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN-1504
HI
Other
Enumeration date
11/12/2010
Last updated
10/17/2017
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