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Contact Information

STEPHEN M MALOFF MD PA
1950 E CLARK STREET
SUITE A
POCATELLO, ID83205
 Phone: 208-232-5550
 Fax: 208-232-5553
 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 MD PA

NPI # 1417155284
LBN Legal business name STEPHEN M MALOFF MD PA
Authorized official STEPHEN MALOFF - (PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 07/03/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
ID License # M3508
ID Medicaid D03833100
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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