Provider Demographics
NPI:1043500259
Name:MALONE, ANDREW FRANCIS (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:FRANCIS
Last Name:MALONE
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Gender:M
Credentials:MD
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Mailing Address - Street 1:660 S EUCLID AVE
Mailing Address - Street 2:MSC 8126-00005-00610
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63110-1010
Mailing Address - Country:US
Mailing Address - Phone:314-362-5365
Mailing Address - Fax:314-362-5470
Practice Address - Street 1:4921 PARKVIEW PL
Practice Address - Street 2:DIV IM NEPHROLOGY, STE 5C
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110-1032
Practice Address - Country:US
Practice Address - Phone:314-362-7603
Practice Address - Fax:314-362-5470
Is Sole Proprietor?:No
Enumeration Date:2011-04-10
Last Update Date:2023-09-21
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Provider Licenses
StateLicense IDTaxonomies
MO2014040548207R00000X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO200021332Medicaid