NPI 1184642993

Fallon H Maylack, MD

Practitioner Orthopaedic Surgery Physician Bridgeton, MO

Practice location

Address: 12255 de Paul Dr STE 845, Bridgeton, MO 63044-2510
Phone: (314) 884-6320
Fax: (314) 884-6321
Mailing address: PO Box 23340, Saint Louis, MO 63156-3340

Registered specialties

Orthopaedic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207X00000X Licence R5E50 (MO)

Other Orthopaedic Surgery providers in Missouri →

Registry record

NPI: 1184642993
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Jul 2006
Record last updated: 13 Feb 2017

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.