NPI 1417155284

Stephen M Maloff MD PA

Organisation Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician Pocatello, ID

Practice location

Address: 1950 E Clark Street Suite a, Pocatello, ID 83205
Phone: (208) 232-5550
Fax: (208) 232-5553
Mailing address: PO Box 4948 1950 E Clark Street Suite a, Pocatello, ID 83205

Authorised official

Name: Stephen M Maloff
Title: Physician
Phone: (208) 232-5550

Registered specialties

Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2082S0099X Licence M3508 (ID)

Other Plastic Surgery providers in Idaho →

Registry record

NPI: 1417155284
Entity type: Organization
NPI issued: 3 Jul 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.