Malone, Cory

Malone, Cory is an individual health care provider with primary practice located at 300 First Capitol Drive , St Charles MO 63301. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Malone, Cory can be contacted via phone (636) 947-5444.

Contact Information

Primary practice address
300 First Capitol Drive St Charles MO 63301
Phone: (636) 947-5444
Fax: (636) 947-5259
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X M45010188321 Illinois
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 2023014717 Missouri

Profile Details

NPI number 1306378245
LBN Legal business name Malone, Cory
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2017
Last updated Oct 3rd, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306378245 NPPES
Missouri MEDICAID 200125501

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