MEDICARE: MALINKA CARE PLLC

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	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1023688629
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MALINKA CARE PLLC

Provider Business Mailing Address
First Line	:	18700 N 64TH DR STE 201
Second Line	:
City	:	GLENDALE
State	:	AZ
Zip	:	85308-7112
Country	:	US
Telephone Number	:	602-699-6272
Fax Number	:	862-343-9530

Provider Business Practice Location Address
First Line	:	18700 N 64TH DR STE 201
Second Line	:
City	:	GLENDALE
State	:	AZ
Zip	:	85308-7112
Country	:	US
Telephone Number	:	602-699-6272
Fax Number	:	862-343-9530

Authorized Official
Title or Position	:	OWNER
Name	:	MR. MICHAEL HALLINAN
Credential	:
Telephone Number	:	602-699-6272

Provider Enumeration Date	:	06/28/2021
Last Update Date	:	06/28/2021

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