Dwight M Malone Valid NPI
Individual provider · Driver · Mesa, AZ
- NPI
- 1154774107
- Type
- Individual (Type 1)
- Primary specialty
- Driver
- Specialty group
- Other Service Providers
- Taxonomy code
- 172A00000X
- License number
- L2088992 (AZ)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2016-07-14
- Last updated
- 2016-07-14
Practice location
1505 N Country Club Dr Apt 118
Mesa, AZ 85201-2518
(480) 547-4960