Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DALLAS MULLOCK, D.O.
ActiveDR. DALLAS MULLOCK, D.O. is a Family Medicine healthcare provider located in MARYVILLE, Missouri. NPI 1134504012 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · MARYVILLE, MO
Registration Details
- NPI Number
- 1134504012
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 21, 2015 (11.054468644297 yrs)
- Last Updated
- May 21, 2020
- License
-
2015023403 (MO)
Practice Information
- Address
-
2332 S MAIN STMARYVILLE, MO, 644683622Browse MO providers · Browse ZIP 64468
- Phone
- 6605622223
- Fax
- 6605622230
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in MARYVILLE, MO
| Name | Credential | NPI |
|---|---|---|
| DR. SALLY A. BOMAR | M.D. | 1043212228 |
| DR. PATRICK S. DAWSON | M.D. | 1316941180 |
| DR. JOHN MICHAEL FEUERBACHER | M.D. | 1669476354 |
| DR. BRIAN D. GOLIGHTLY | M.D. | 1225032923 |
| LORI J SNOOK | DO | 1669477972 |
| MICHAEL J WURM | MD | 1679578884 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.