Search › Missouri › 208100000X
Mark Adderley, D.O
NPI 1114149903 · on the registry since 2007 · sole proprietor
Practice
- Address
- 1400 Us Highway 61
Festus, MO 63028 - Phone
- (314) 288-9161
- Organisation at this address
- Provider Plus Llc
Id Consultants, P.C.
Modern Urology, Inc.
Contemporary Ob-Gyn Pc
Rouba Ghoussoub Md LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 98
Additional practice sites
- 1333 Scenic Dr, Herculaneum, MO
- 1 Jefferson Barracks Dr, Saint Louis, MO
Registry record
- Primary taxonomy
- 208100000X
208100000X
- Also registered as
- 208D00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-06-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri