SearchColorado101YA0400X

Martin Malouff, BS CACIII

NPI 1740498195 · on the registry since 2007 · sole proprietor

Practice

Address
1004 S Carbon Ave
Trinidad, CO 81082
Phone
(719) 846-4481

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
CO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado