-- FALLON H MAYLACK MD ⚕️ Missouri 1184642993

NPI	1184642993
Entity Type	Individual
Gender	Male
Sole Proprietor ?	No
Primary Taxonomy	207X00000X Orthopaedic Surgery (Licence: MO R5E50)
Enumeration Date	2006-07-18
Last Update Date	2017-02-13

-- FALLON H MAYLACK MD

12255 DE PAUL DR STE 845

BRIDGETON, MO 63044-2510

Phone number: 314-884-6320

-- FALLON H MAYLACK MD

PO BOX 23340

SAINT LOUIS, MO 63156-3340

Phone number: 314-884-6320