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NPI Code Detail

MEDICARE: MR. ROBERT MALONE RPT

MEDICARE: MR. ROBERT MALONE RPT
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
1171W00000XContractor18209AL

General Provider Information

NPI Number : 1225136369
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ROBERT MALONE RPT
Provider Business Mailing Address
First Line : 8331 MADISON BLVD.
Second Line : SUITE 500
City : MADISON
State : AL
Zip : 35758-2068
Country : US
Telephone Number : 256-325-2070
Fax Number : 844-587-9612
Provider Business Practice Location Address
First Line : 8331 MADISON BLVD.
Second Line : SUITE 500
City : MADISON
State : AL
Zip : 35758-2068
Country : US
Telephone Number : 256-325-2070
Fax Number : 844-587-9612
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2006
Last Update Date : 11/17/2022

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