| Doctor Name: | DR. CHRISTOPHER JAMES MALCOM |
| NPI Number: | 1447402425 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | O-0744 |
| Business Practice Address: | 4519 Enterprise Way Caldwell, ID - 836058055 |
| Business Phone Number: | 2084557482 |
| Business Fax Number: | 2084557538 |
| Mailing Address: | 4519 Enterprise Way, CALDWELL |
| State: | ID |
| Postal Code: | 836058055 |
| Phone Number: | 2084557482 |
| Fax Number: | 2084557538 |
| NPI Enumeration Date: | 10/21/2008 |
| NPI Last Update Date: | 07/10/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | O-0744 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | ID |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |