Search › Missouri › 207Q00000X
Dallas Mullock, D.O
NPI 1134504012 · on the registry since 2015
Practice
- Address
- 2332 S Main St
Maryville, MO 64468 - Phone
- (660) 562-2223
- Fax
- (660) 562-2230
- Organisation at this address
- Mullock Health Care Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-05-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri