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Malik Herron

NPI 1619887452 · on the registry since 2026 · sole proprietor

Practice

Address
4922 Lilburn Ave
Saint Louis, MO 63115
Phone
(314) 840-2792

Registry record

Primary taxonomy
343900000X
343900000X
Sex
Male
Record last updated
2026-09-11

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