IndividualActive
Brian Malott, PA-C
NPI 1144652108 · Surgical Physician Assistant · Albuquerque, NM
Provider details
- NPI number
- 1144652108
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- PA2013-0044 (NM)
Practice location
201 Cedar St Se Ste 6600
Albuquerque, NM 87106-5411
Phone: (505) 734-4300
Fax: (505) 724-4384
Mailing address
800 Bradbury Dr Se Ste 116
Albuquerque, NM 87106-4310
Registry dates
- Enumerated
- 2013-08-01
- Last updated
- 2024-09-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.