Provider Demographics
NPI:1538554746
Name:MALUFAU, JAYSON (DO)
Entity type:Individual
Prefix:DR
First Name:JAYSON
Middle Name:
Last Name:MALUFAU
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3269 STOCKTON HILL RD
Mailing Address - Street 2:
Mailing Address - City:KINGMAN
Mailing Address - State:AZ
Mailing Address - Zip Code:86409-3619
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:965 E 700 S STE 205
Practice Address - Street 2:
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84790-4085
Practice Address - Country:US
Practice Address - Phone:435-281-2273
Practice Address - Fax:435-466-1816
Is Sole Proprietor?:No
Enumeration Date:2015-04-03
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT12552714-1204207Q00000X
NVCL0483207Q00000X
AZ007051207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine