Individual provider · Type 1 NPI
Dwight M. Malone
Driver · Mesa, AZ
NPI number
1154774107
Active
Practice location
1505 N Country Club Dr Apt 118
Mesa, AZ 85201-2518
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | L2088992 (AZ) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
Other driver providers in Mesa
About NPI 1154774107
Dwight M. Malone's National Provider Identifier is 1154774107, issued on Jul 14, 2016. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Mesa, AZ. The record was last updated on Jul 14, 2016.