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Mario Millsap

NPI 1841935590 · on the registry since 2022 · sole proprietor

Practice

Address
3144 Lackland Ave
Saint Louis, MO 63116
Phone
(314) 200-5486

Registry record

Primary taxonomy
225X00000X
225X00000X
Sex
Male
Record last updated
2022-04-27

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