Provider Demographics
NPI:1861467052
Name:MALONE, JOHN DUDLEY (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:DUDLEY
Last Name:MALONE
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:45 DELAPORT WAY
Mailing Address - Street 2:
Mailing Address - City:CORONADO
Mailing Address - State:CA
Mailing Address - Zip Code:92118-3513
Mailing Address - Country:US
Mailing Address - Phone:619-838-7784
Mailing Address - Fax:
Practice Address - Street 1:34800 BOB WILSON DR
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92134-1098
Practice Address - Country:US
Practice Address - Phone:619-532-6099
Practice Address - Fax:619-532-8137
Is Sole Proprietor?:No
Enumeration Date:2006-02-21
Last Update Date:2014-07-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG84820207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease