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Contact Information

BRIAN J MALOTT, PA-C
201 CEDAR ST SE STE 6600
ALBUQUERQUE, NM87106-5411
 Phone: 505-734-4300
 Fax: 505-724-4384
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for BRIAN J MALOTT · (Male)

NPI # 1144652108
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 08/01/2013
Last updated 09/13/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • NM License # PA2013-0044
  • NM Medicaid 16433882
Hospital affiliation(s) Not Available
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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