JAN MALACARA PA-C NPI 1124089230

NPI Information

Jan Malacara, PA-C is a medical physician assistant in Wickenburg, AZ. Jan Malacara, PA-C NPI is 1124089230. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

36075 S RINCON RD
ROSEWOOD RANCH
WICKENBURG, AZ
ZIP 85390
Phone: (928) 684-9594
Fax: (480) 607-5119

The NPI 1124089230 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/29/2006 and was last updated on 7/26/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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