Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | 8435 | MT |
NPI | 1063525988 |
---|---|
Provider Name | Dr. Andrew Mark Malany |
First Address | Helena, MT 59601-8049 |
Second Address | Helena, MT 59601-8049 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/08/2006 |
Last Update Date | 28/01/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F74432 | (02) | MT |