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Contact Information

STEPHEN M MALOFF, MD
2240 E CENTER ST
POCATELLO, ID83201
 Phone: 208-233-8344
 Fax: 208-233-6983
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery Within the Head and Neck

2082S0099X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for STEPHEN M MALOFF · (Male)

NPI # 1316059280
Status Active
Credentials MD
Entity Individual
Enumeration date 08/31/2006
Last updated 11/25/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • ID License # M3508
  • ID Medicaid 003833100
  • ID Other 76814 BLUE CROSS OF ID
  • ID Other 242157007 RAILROAD MEDICARE
  • ID Other 000010024275 REGENCE BLUE SHIELD OF ID
Hospital affiliation(s)
  • BINGHAM MEMORIAL HOSPITAL - (Critical Access)
    98 POPLAR STREET
    BLACKFOOT, ID 83221
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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