Fallon H. Maylack, MD

Orthopaedic Surgery Physician · Bridgeton, MO

Individual Active NPI

NPI number 1184642993

Practice location

12255 De Paul Dr
Ste 845
Bridgeton, MO 63044-2510
Phone
(314) 884-6320
Fax
(314) 884-6321

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NPI record

NPI
1184642993
Entity type
Individual (Type 1)
Enumeration date
July 18, 2006
Last updated
February 13, 2017
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Orthopaedic Surgery Physician Primary 207X00000X R5E50 MO

Mailing address

PO Box 23340
Saint Louis, MO 63156-3340
Phone
(314) 884-6320
Fax
(314) 884-6321

About Dr. Maylack

Fallon H. Maylack, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Orthopaedic Surgery Physician (code 207X00000X). The practice location is 12255 De Paul Dr, Ste 845, Bridgeton, MO 63044-2510. The NPI number 1184642993 was assigned on July 18, 2006 and the record was last updated on February 13, 2017.

Dr. Maylack lists a license in the registry: #R5E50 (MO) for Orthopaedic Surgery Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Fallon H. Maylack, MD?

The NPI number is 1184642993.

What is the phone number of Dr. Maylack?

The phone number listed for the practice location is (314) 884-6320.

Where is Dr. Maylack located?

12255 De Paul Dr, Ste 845, Bridgeton, MO 63044-2510.

What is the taxonomy code for Dr. Maylack?

The primary taxonomy code is 207X00000X – Orthopaedic Surgery Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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