Individual
GRACE L MALONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2910 N 3RD AVE # 200, PHOENIX, AZ 85013-4434
(602) 406-4630
(602) 294-8269
Mailing address
2910 N 3RD AVE # 200, PHOENIX, AZ 85013-4434
(602) 406-4630
(602) 294-8269
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
56087
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
399596
—
AZ
Enumeration date
04/15/2014
Last updated
05/31/2024
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