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Brian Joel Malott, PA-C
Surgical Physician Assistant in Albuquerque, New Mexico
NPI 1144652108

Brian Joel Malott is a Surgical Physician Assistant based in Albuquerque, NM and is specialized in Surgical. Brian Joel Malott practices in Albuquerque, NM and has the professional credentials of PA-C. The NPI Number for Brian Joel Malott is 1144652108 and holds a License No. PA2013-0044 (New Mexico).

The current practice location address for Brian Joel Malott is 201 Cedar St Se Ste 6600, Albuquerque, NM and can be reached out via phone at 505-734-4300 and via fax at 505-724-4384.

Location: 201 Cedar St Se Ste 6600, Albuquerque, NM, 87106-4310
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Provider Profile Details
NPI Number
1144652108
Provider Name
Brian Joel Malott
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
201 Cedar St Se Ste 6600, Albuquerque, NM, 87106-4310
Phone Number
505-734-4300
Fax Number
505-724-4384
Provider Enumeration Date
08/01/2013
Last Update Date
10/19/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
16433882 05 NM
institution
Provider Business Practice Location Address Details
Address
201 Cedar St Se Ste 6600
City
State
Zip
87106-5411
Phone Number
505-734-4300
Fax Number
505-724-4384
person
Provider Business Mailing Address Details
Address
201 Cedar St Se Ste 6600
City
State
Zip
87106-5411
Phone Number
505-734-4300
Fax Number
505-724-4384
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA2013-0044 (New Mexico)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA2013-0044 (New Mexico)
Definition
Definition to come...
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