Fallon H Maylack, MD Valid NPI

Individual provider · Orthopaedic Surgery Physician · Bridgeton, MO

NPI

1184642993

Type

Individual (Type 1)

Primary specialty

Orthopaedic Surgery Physician (Orthopaedic Surgery)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207X00000X

License number

R5E50 (MO)

Sex

Male

Sole proprietor

No

Enumerated

2006-07-18

Last updated

2017-02-13