Individual
DR. VICTOR ANTHONY MAALOUF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6000 HOSPITAL DR, HANNIBAL, MO 63401-6887
(573) 248-5100
(573) 248-5112
Mailing address
PO BOX 551, HANNIBAL, MO 63401-0551
(573) 248-5100
(573) 248-5112
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2015040160
MO
207P00000X
Emergency Medicine Physician
20A7722
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX77220
—
CA
01
—
2015040160
STATE MEDICAL LICENSE
MO
Enumeration date
07/04/2006
Last updated
03/06/2017
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