NPI 1043925639

Mallory B Warren-Brothers, PAC

Practitioner Physician Assistant Saint Robert, MO

Practice location

Address: 608 Old Route 66, Saint Robert, MO 65584-3730
Phone: (573) 336-5100

Registered specialties (2)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 2023011900 (MO)

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Radiologic Technologist

Technologists, Technicians & Other Technical Service Providers Taxonomy 247100000X Licence 588293 (MO)

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Registry record

NPI: 1043925639
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Jan 2023
Record last updated: 31 Mar 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.