Justin Scott Malenkos M.D.

NPI 1619102035 - Anesthesiology - 207L00000X

NPI Details
NPI 1619102035
Gender Male
Enumeration Date 05/29/2009
Last Updated 05/09/2013
Entity Type Individual
Active Over 7 years ago
Practice Location
2001 W 86TH ST
INDIANAPOLIS IN, 46260-1902, US
Phone (317) 614-9850
Fax (800) 731-0751
Business Location
PO BOX 7232
INDIANAPOLIS IN, 46207-7232, US
Phone (317) 614-9850
Fax (800) 731-0751
Toxanomy
Taxonomy Code 207L00000X
License State Indiana
License Number 01070661A
Remove 1619102035 NPI Number
 

According to our database, Dr. Justin Scott Malenkos M.D. NPI is 1619102035, taxonomy code is 207L00000X and license number is 01070661A, license state is located at Indiana. Justin Scott Malenkos M.D. physically located at 2001 W 86th St, Indianapolis IN, 46260-1902. NPI Number Justin Scott Malenkos M.D. has the Individual type.

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1619102035 NPI number is provided on an as is basis without warranty of any kind. 1619102035 is maintained by the National Plan & Provider Enumeration System. The contents of Justin Scott Malenkos M.D. are for informational purposes only.