MEDICARE: CHRISTOPHER T MALONEY JR. M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208200000X	Plastic Surgery Physician	30130	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073552667
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER T MALONEY JR. M.D.

Provider Business Mailing Address
First Line	:	PO BOX 13627
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85732-3627
Country	:	US
Telephone Number	:	520-750-7166
Fax Number	:	520-886-1929

Provider Business Practice Location Address
First Line	:	3170 N SWAN RD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85712-1227
Country	:	US
Telephone Number	:	520-298-2325
Fax Number	:	520-298-2328

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/06/2006
Last Update Date	:	08/31/2010

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