Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider
is Licensed or Credentialed. For more information please refer to
NPI: What You Need to Know
MR. REX C. MALCOM PHARM. D, DMD
Gender: MALE
NPI: 1255454815
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Last Updated: | 2015-06-29 | ||
| Certification Date: |
Details
| Name | Value | ||||||||||||
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| NPI | 1255454815 | ||||||||||||
| Enumeration Date | 2007-04-09 | ||||||||||||
| NPI Type | 1 - Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address |
6611 DEBARR RD
SUITE 200
ANCHORAGE, AK 99504-1706 United States Phone: 907-337-0404 | Fax: View Map 
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| Primary Practice Address |
6611 DEBARR RD
SUITE 200
ANCHORAGE, AK 99504-1706 United States Phone: 907-337-0404 | Fax: View Map
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