Individual
JAMES MALY IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1 HAIRPIN DRIVE, EDWARDSVILLE, IL 62026-0001
(618) 650-3228
Mailing address
1 LAKE DR, CASEYVILLE, IL 62232-2419
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
041564657
IL
Other
Enumeration date
01/12/2026
Last updated
01/12/2026
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