| Doctor Name: | ROBERT S MALS |
| NPI Number: | 1801819909 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 20030403 |
| Business Practice Address: | 9 W Alary Ln Corrales, NM - 870488396 |
| Business Phone Number: | 5052980301 |
| Business Fax Number: | 5053235203 |
| Mailing Address: | 9 W Alary Ln, CORRALES |
| State: | NM |
| Postal Code: | 870488396 |
| Phone Number: | 5052980301 |
| Fax Number: | 5053235203 |
| NPI Enumeration Date: | 07/26/2006 |
| NPI Last Update Date: | 09/09/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | 20030403 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NM |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |