Stephen M Maloff Md Pa

LBN: Stephen M Maloff Md Pa
Stephen M Maloff Md Pa is an health care organization with primary practice located at 1950 E Clark Street Suite A, Pocatello ID 83205. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck, which is considered as the primary health care specialty. Stephen M Maloff Md Pa can be contacted via phone (208) 232-5550, or through Maloff, Stephen M via phone (208) 232-5550.

Contact Information

Primary practice address
1950 E Clark Street Suite A Pocatello ID 83205
Phone: (208) 232-5550
Fax: (208) 232-5553
Website:
Map and Directions
Authorized official contact:
Name: Maloff, Stephen M Doctor of Medicine (MD)
Phone: (208) 232-5550

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck 2082S0099X M3508 Idaho

Profile Details

NPI number 1417155284
LBN Legal business name Stephen M Maloff Md Pa
DBA Doing business as
Authorized official Maloff, Stephen M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 3rd, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417155284 NPPES
Idaho MEDICAID D03833100

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