DR. Dallas Mullock, D.O.

NPI #1134504012 in Maryville, Missouri

Provider Information

NPI Number: 1134504012
Entity Type: Individual
Name: DR. Dallas Mullock, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: D.O.
Enumeration Date: Jul 21, 2015
Last Updated: May 21, 2020

Practice Location

Address: 2332 S MAIN ST
City: Maryville
State: Missouri
ZIP Code: 64468-3622
Phone: (660) 562-2223

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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