MALLORY FAHNESTOCK

PERRYVILLE, MO
NPI1265856173
Entity TypeIndividual
GenderN/A
Sole Proprietor ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: MO  2014004288)
Enumeration Date2014-02-12
Last Update Date2014-02-12
Business Address
-- MALLORY FAHNESTOCK DPT
1506 W SAINT JOSEPH ST
PERRYVILLE, MO 63775-1504
Phone number: 573-517-7900
Mailing Address
-- MALLORY FAHNESTOCK DPT
1506 W SAINT JOSEPH ST
PERRYVILLE, MO 63775-1504
Phone number: 573-517-7900