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Dr. Christopher James Malcom, D.O.

Radiology, Diagnostic Radiology in Caldwell, ID. Individual provider (NPI-1).

NPI number1447402425
StatusActive
Last updated in NPPESJul 10, 2014

Details

NPI
1447402425
Entity type
Individual (NPI-1)
Name
Dr. Christopher James Malcom
Credential
D.O.
Sex
Male
Sole proprietor
No
Enumeration date
Oct 21, 2008
Last updated
Jul 10, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2085R0202X Radiology, Diagnostic RadiologyO-0744IDYes
2085B0100X Radiology, Body ImagingO-0744ID

Practice location

4519 Enterprise Way
Caldwell, ID 83605-8055

Phone 208-455-7482 · Fax 208-455-7538

Mailing address

4519 Enterprise Way
Caldwell, ID 83605-8055

Phone 208-455-7482 · Fax 208-455-7538

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