John Paul Malan
Oral and Maxillofacial Surgeon
1613 12th Ave Rd Suite A
Nampa
, Idaho 83686-7714
John Paul Malan
Oral and Maxillofacial Surgeon
1613 12th Ave Rd Suite A
Nampa
, Idaho 83686-7714
(208) 505-1946
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- John Paul Malan
- 1613 12th Ave Rd Suite A
- Nampa, ID
- Zip : 83686-7714
- Phone : (208) 505-1946
Second Address
- John Paul Malan
- 1613 12th Ave Rd Suite A
- Nampa, ID
- Zip : 83686-7714
- Phone : (208) 505-1946
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | D4557OS | ID |
| N | 1223S0112X | Oral and Maxillofacial Surgeon | DR20000202 | WA |
National Provider Identifier
| NPI | 1093907610 |
|---|---|
| Provider Name | John Paul Malan |
| First Address | Nampa, ID 83686-7714 |
| Second Address | Nampa, ID 83686-7714 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/08/2007 |
| Last Update Date | 23/07/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.