Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
FALLON H MAYLACK, MD
ActiveOrthopaedic Surgery · BRIDGETON, MO
Registration Details
- NPI Number
- 1184642993
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 18, 2006 (19.769607620278 yrs)
- Last Updated
- Feb 13, 2017
- License
-
R5E50 (MO)
Practice Information
- Address
-
12255 DE PAUL DRSTE 845BRIDGETON, MO, 630442510Browse MO providers · Browse ZIP 63044
- Phone
- 3148846320
- Fax
- 3148846321
- Primary Specialty
-
Orthopaedic Surgery
207X00000X
Other Orthopaedic Surgery Providers in BRIDGETON, MO
| Name | Credential | NPI |
|---|---|---|
| KATHERINE A BURNS | M.D. | 1326090515 |
| WILLIAM C SCHROER | M.D. | 1447202197 |
| CRYSTEL D KNIERIM | MD | 1023034857 |
| RANDALL D ROUSH | MD | 1255357091 |
| TERRY J WEIS | DO | 1154347995 |
| DR. RYAN J POMAJZL | M.D., P.T., A.T.,C. | 1508889577 |
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.