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Search › Missouri › 207X00000X

Fallon Maylack, MD

NPI 1184642993 · on the registry since 2006

Practice

Address
12255 De Paul Dr
Ste 845
Bridgeton, MO 63044
Phone
(314) 884-6320
Fax
(314) 884-6321
Organisation at this address
Lbr Inc
Sluhh Llc
Depaul Optical
Karansingh, Llc
Kingdom Care Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
66

Registry record

Primary taxonomy
207X00000X
207X00000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-02-13

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