Individual provider · Type 1 NPI

Brian Joel Malott, PA-C

Surgical Physician Assistant · Albuquerque, NM

NPI number 1144652108 Active

Practice location

201 Cedar St SE Ste 6600
Albuquerque, NM 87106-5411

Call (505) 734-4300 Map

Fax (505) 724-4384

Mailing address

800 Bradbury Dr SE Ste 116
Albuquerque, NM 87106-4310

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XPA2013-0044 (NM)
Surgical Physician Assistant Primary 363AS0400XPA2013-0044 (NM)

Surgical Physician Assistant: Definition to come...

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About NPI 1144652108

Brian Joel Malott, PA-C's National Provider Identifier is 1144652108, issued on Aug 1, 2013. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Albuquerque, NM. The record was last updated on Sep 13, 2024.