Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MIRANDA DAWN MALONE, LE, LTA
Active Sole ProprietorMIRANDA DAWN MALONE, LE, LTA is a Specialist/Technologist, Surgical healthcare provider located in O FALLON, Missouri. NPI 1548020134 is currently active in the NPPES registry. Verify at CMS.
Specialist/Technologist, Surgical · O FALLON, MO
Registration Details
- NPI Number
- 1548020134
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 20, 2024 (2.426747300846 yrs)
- Last Updated
- Mar 20, 2024
- License
-
2024010331 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1055 E TERRA LNO FALLON, MO, 633662750Browse MO providers · Browse ZIP 63366
- Phone
- 6364876200
- Primary Specialty
-
Specialist/Technologist, Surgical
246Z00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.