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STEPHEN M MALOFF MD PA NPI 1417155284


NPI Information

NPI: 1417155284
Provider Name: STEPHEN M MALOFF MD PA
Classification: Plastic Surgery - 2082S0099X
Entity Type: Organization

Specialization: Plastic Surgery Within the Head and Neck

Address:
1950 E CLARK STREET
SUITE A
POCATELLO, ID
ZIP 83205
Phone: (208) 232-5550
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STEPHEN M MALOFF MD PA is a plastic surgery within the head and neck plastic surgery in Pocatello, ID. The provider is a plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery is practiced, there are many additional procedures which interface with them. STEPHEN M MALOFF MD PA NPI is 1417155284. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1950 E CLARK STREET
SUITE A
POCATELLO, ID
ZIP 83205
Phone: (208) 232-5550
Fax: (208) 232-5553

The provider's authorized official is Stephen M Maloff .
The authorized official title is Physician and has the following contact phone number (208) 232-5550.

The enumeration date for this NPI number is 7/3/2007 and was last updated on 8/22/2020.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12082S0099XPlastic SurgeryPlastic Surgery Within the Head and NeckM3508IDAHOYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1D03833100MEDICAIDIDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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